1427372630 NPI number — MRS. MEGHAN ADRIANA SERIO RN MSN WHNP

Table of content: MRS. MEGHAN ADRIANA SERIO RN MSN WHNP (NPI 1427372630)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427372630 NPI number — MRS. MEGHAN ADRIANA SERIO RN MSN WHNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SERIO
Provider First Name:
MEGHAN
Provider Middle Name:
ADRIANA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN MSN WHNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MATLOCK
Provider Other First Name:
MEGHAN
Provider Other Middle Name:
ADRIANA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN BSN
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1427372630
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1275 DELAWARE AVE
Provider Second Line Business Mailing Address:
SUITE # 555
Provider Business Mailing Address City Name:
BUFFALO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14209-2402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-882-2424
Provider Business Mailing Address Fax Number:
716-882-9450

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1275 DELAWARE AVE
Provider Second Line Business Practice Location Address:
SUITE # 555
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14209-2402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-882-2424
Provider Business Practice Location Address Fax Number:
716-882-9450
Provider Enumeration Date:
03/16/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  F420976-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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