Diane Elizabeth Meehan
Nurse Practitioner - Family Medicine
475 Seaview Ave
Staten Island
, New York 10305-3436
Diane Elizabeth Meehan
Nurse Practitioner - Family Medicine
475 Seaview Ave
Staten Island
, New York 10305-3436
(718) 317-9259
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Diane Elizabeth Meehan
- 208 Chelsea St
- Staten Island, NY
- Zip : 10307-1713
- Phone : (718) 317-9259
Second Address
- Diane Elizabeth Meehan
- 475 Seaview Ave
- Staten Island, NY
- Zip : 10305-3436
- Fax : (718) 226-6131
- Phone : (718) 226-6131
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | F331305 | NY |
National Provider Identifier
| NPI | 1992939755 |
|---|---|
| Provider Name | Diane Elizabeth Meehan |
| First Address | Staten Island, NY 10307-1713 |
| Second Address | Staten Island, NY 10305-3436 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2009 |
| Last Update Date | 21/05/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.