Provider Demographics
NPI:1982456703
Name:CARLIN, MEGHAN PAIGE (BSN, RN)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:PAIGE
Last Name:CARLIN
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:PAIGE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:230 E LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3757
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:230 E LINCOLN ST
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3757
Practice Address - Country:US
Practice Address - Phone:484-889-7144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN685798163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care