Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN.CNP.0030367 | OH |
NPI | 1003287186 |
---|---|
Provider Name | Megan Hebb |
First Address | Berea, OH 44017-2138 |
Second Address | Berea, OH 44017-2138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2015 |
Last Update Date | 05/01/2022 |