Provider Demographics
NPI:1760138754
Name:PIERSANTI, MEGAN GRACE (DNP, APN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:GRACE
Last Name:PIERSANTI
Suffix:
Gender:F
Credentials:DNP, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-1240
Mailing Address - Country:US
Mailing Address - Phone:973-957-7171
Mailing Address - Fax:973-348-6702
Practice Address - Street 1:282 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-1240
Practice Address - Country:US
Practice Address - Phone:973-957-7171
Practice Address - Fax:973-348-6702
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY355057363LF0000X
NJ26NJ01279200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily