Mrs. Meghan B Brunnock, PA-C
Physician Assistant in Mystic, Connecticut
1063500841- Practice location
- 34 Water Street, Suite 2, Mystic, CT 06355
- Phone
- 860-572-9994
- Fax
- 860-572-9930
- Last updated
- August 7, 2019
Meghan B Brunnock is a Physician Assistant based in Mystic, CT. Meghan B Brunnock practices in Mystic, CT and has the professional credentials of PA-C. The NPI Number for Meghan B Brunnock is 1063500841 and holds a License No. 000967 (CT). The current practice location address for Meghan B Brunnock is 34 Water Street, Suite 2, Mystic, CT 06355 and can be reached out via phone at 860-572-9994 and via fax at 860-572-9930.
Provider Profile Details
- NPI Number
- 1063500841
- Provider Name
- Meghan B Brunnock
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 34 Water Street, Suite 2, Mystic, CT 06355
- Phone Number
- 860-572-9994
- Fax Number
- 860-572-9930
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 10, 2006
- Last Update Date
- August 7, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 34 Water Street
Suite 2
Mystic, CT 06355 - City
- Mystic
- State
- Connecticut
- Zip
- 06355
- Phone Number
- 860-572-9994
- Fax Number
- 860-572-9930
Provider Business Mailing Address Details
- Address
- 34 Water Street
Suite 2
Mystic, CT 06355 - City
- Mystic
- State
- CT
- Zip
- 06355
- Phone Number
- 860-572-9994
- Fax Number
- 860-572-9930
License Information
- License Number
- 000967
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Meghan B Brunnock, PA-C?
The NPI number of Mrs. Meghan B Brunnock, PA-C is 1063500841. It was assigned on October 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Meghan B Brunnock, PA-C?
Mrs. Meghan B Brunnock, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 000967.
Where does Mrs. Meghan B Brunnock, PA-C practice?
The practice location is 34 Water Street, Suite 2, Mystic, CT 06355. The office can be reached at 860-572-9994 (phone) or 860-572-9930 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063500841 directly on the NPPES registry website.