Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 309952 | NY |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 309952 | NY |
NPI | 1033708565 |
---|---|
Provider Name | Megan Markland |
First Address | New York, NY 10128-6909 |
Second Address | New York, NY 10017-6739 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2021 |
Last Update Date | 01/12/2021 |