Provider Demographics
NPI:1528318565
Name:BARON, MEGHAN C (PA-C)
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:C
Last Name:BARON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:MEGHAN
Other - Middle Name:CHRISTINA
Other - Last Name:KENNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:PENACOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03303-1412
Mailing Address - Country:US
Mailing Address - Phone:603-753-4302
Mailing Address - Fax:603-753-6213
Practice Address - Street 1:4 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:PENACOOK
Practice Address - State:NH
Practice Address - Zip Code:03303-1412
Practice Address - Country:US
Practice Address - Phone:603-753-4302
Practice Address - Fax:603-753-6213
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA1453363AM0700X
NH0915363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVPA1453OtherPA-C LICENSURE
NH33300054Medicaid
NVPA1453OtherPA-C LICENSURE
NH33300054Medicaid