Provider Demographics
NPI:1609617067
Name:GUERRERA, MEGAN (PMHNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:GUERRERA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 LENOX AVE
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-1500
Mailing Address - Country:US
Mailing Address - Phone:315-363-3389
Mailing Address - Fax:315-363-9286
Practice Address - Street 1:16 CRAWFORD ST
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-3200
Practice Address - Country:US
Practice Address - Phone:315-363-9286
Practice Address - Fax:315-363-9286
Is Sole Proprietor?:No
Enumeration Date:2024-06-01
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY795458163W00000X
NY405933363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse