Most Relevant Information
Provider Data
| NPI Number: | 1003410242 |
| Provider Name: | MEGAN ROSE GOULD LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 326025 |
Most Important Dates
| Enumeration Date: | 11/29/2020 |
| Last Updated: | 11/29/2020 |
Provider Practice Location
738 HIGH ST
CLAYTON
NY
136241510
Practice Location Phone/Fax
| Phone: | 3157719774 |
| Fax: |
Provider Mailing Location
17603 SANDY CREEK VALLEY RD
WATERTOWN
NY
136019357
Provider Mailing Phone/Fax
| Phone: | 3158047122 |
| Fax: |