Provider Demographics
NPI:1902176290
Name:DINNEEN, MEGHAN LEIGH (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:LEIGH
Last Name:DINNEEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 THIBODEAU RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04736-5126
Mailing Address - Country:US
Mailing Address - Phone:207-227-0003
Mailing Address - Fax:
Practice Address - Street 1:24 NORTH ST # 4
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2239
Practice Address - Country:US
Practice Address - Phone:207-764-3142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP111125363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily