Provider Demographics
NPI:1457100489
Name:ORANGE, MEGAN JOY (PA-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:JOY
Last Name:ORANGE
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:315 TIBBOTT ST
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-1154
Mailing Address - Country:US
Mailing Address - Phone:814-207-6464
Mailing Address - Fax:
Practice Address - Street 1:14001 E INDEPENDENCE BLVD STE C
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-9658
Practice Address - Country:US
Practice Address - Phone:704-247-6598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-08-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical