Provider Demographics
NPI:1942896451
Name:GAUNTNER, MEGAN (CRNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:GAUNTNER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:724-342-3002
Mailing Address - Fax:
Practice Address - Street 1:1555 SHAWNA RD
Practice Address - Street 2:
Practice Address - City:CHERRY TREE
Practice Address - State:PA
Practice Address - Zip Code:15724-9003
Practice Address - Country:US
Practice Address - Phone:814-743-5449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-18
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022895363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily