National Provider Identifier

Mary L Meehan, NP

Mary L Meehan, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 256-7802.

NPI 1992704720Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1992704720
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 14, 2005
Last Updated
March 28, 2017

Practice Location

  • 1183 Monroe Ave
  • Rochester, NY 14620-1662

Phone: (585) 256-7802

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1992704720
Entity Type
Individual
Last Name
Meehan
First Name
Mary
Middle Name
L
Name Prefix
Mrs.
Credential
NP
Provider Other Last Name
Debruin
Provider Other First Name
Mary
Provider Other Middle Name
L
Provider Other Credential Text
RN
Provider Other Last Name Type Code
1
Mailing Street Address
1183 Monroe Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-1662
Mailing Country
US
Mailing Phone
(585) 256-7802
Mailing Fax
(585) 256-7793
Practice Street Address
1183 Monroe Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1662
Practice Country
US
Practice Phone
(585) 256-7802
Practice Fax
(585) 256-7793
Enumeration Date
July 14, 2005
Last Updated
March 28, 2017
Sex
Female
Sole Proprietor
Yes
Taxonomies
Family Nurse Practitioner (363LF0000X)