Active NPIIndividual provider

Meghan M Provost, NP

Nurse Practitioner, Family in Longmeadow, Massachusetts

NPI Number1639721590
Practice location
21 Dwight Road, Suite 104, Longmeadow, MA 01106-1765
Fax
413-794-9448
Last updated
March 15, 2023

Meghan Marie Provost is a Nurse Practitioner, Family based in Longmeadow, MA. Meghan Marie Provost practices in Longmeadow, MA and has the professional credentials of NP. The NPI Number for Meghan Marie Provost is 1639721590 and holds a License No. RN2301093 (MA). The current practice location address for Meghan Marie Provost is 21 Dwight Road, Suite 104, Longmeadow, MA 01106-1765 and can be reached out via phone at 413-795-4555 and via fax at 413-794-9448.

Provider Profile Details

NPI Number
1639721590
Provider Name
Meghan Marie Provost
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
21 Dwight Road, Suite 104, Longmeadow, MA 01106-1765
Phone Number
413-795-4555
Fax Number
413-794-9448
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2019
Last Update Date
March 15, 2023
Certification Date
March 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Dwight Road
Suite 104
Longmeadow, MA 01106-1765
Zip
01106-1765
Phone Number
413-795-4555
Fax Number
413-794-9448
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut St Fl 2
Springfield, MA 01199-1001
City
Springfield
State
MA
Zip
01199-1001
Phone Number
413-794-5700

License Information

License Number
RN2301093
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Meghan M Provost, NP?

The NPI number of Meghan M Provost, NP is 1639721590. It was assigned on July 11, 2019 and is currently active in the NPPES registry.

What is the specialty of Meghan M Provost, NP?

Meghan M Provost, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2301093.

Where does Meghan M Provost, NP practice?

The practice location is 21 Dwight Road, Suite 104, Longmeadow, MA 01106-1765. The office can be reached at 413-795-4555 (phone) or 413-794-9448 (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 1639721590 directly on the NPPES registry website.

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