Provider Demographics
NPI:1205634342
Name:MCALLISTER, MEGAN ANN (APRN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANN
Last Name:MCALLISTER
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 INDIAN DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-2008
Mailing Address - Country:US
Mailing Address - Phone:860-575-4926
Mailing Address - Fax:
Practice Address - Street 1:1 INDIAN DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:CT
Practice Address - Zip Code:06413-2008
Practice Address - Country:US
Practice Address - Phone:860-575-4926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT14516207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine