Basic Information
| Provider Information | |||||||||
| NPI: | 1396491494 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STARKOWSKI | ||||||||
| FirstName: | MEGAN | ||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 RIVENDELL RD | ||||||||
| Address2: | |||||||||
| City: | MARLBOROUGH | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064471260 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8606149616 | ||||||||
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| Practice Location | |||||||||
| Address1: | 282 WASHINGTON ST | ||||||||
| Address2: | |||||||||
| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061063322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605459000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2022 | ||||||||
| LastUpdateDate: | 02/28/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0200X | 151828 | CT | Y | Nursing Service Providers | Registered Nurse | Pediatrics |
No ID Information.