Provider Demographics
NPI:1861598831
Name:LETTIERI, MEGAN EILEEN (CRNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:EILEEN
Last Name:LETTIERI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:EILEEN
Other - Last Name:CARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:700 SPRUCE ST
Mailing Address - Street 2:STE. 304
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4022
Mailing Address - Country:US
Mailing Address - Phone:215-829-3521
Mailing Address - Fax:215-829-3532
Practice Address - Street 1:700 SPRUCE ST
Practice Address - Street 2:STE. 304
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-4022
Practice Address - Country:US
Practice Address - Phone:215-829-3521
Practice Address - Fax:215-829-3532
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP006672U363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine