Healthcare Provider Details

I. General information

NPI: 1659608024
Provider Name (Legal Business Name): MEGGEN MARIE BROWN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGGEN MARIE MEYER FNP

II. Dates (important events)

Enumeration Date: 11/05/2009
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 VINE ST
CINCINNATI OH
45202-1141
US

IV. Provider business mailing address

PO BOX 932958
CLEVELAND OH
44193-0028
US

V. Phone/Fax

Practice location:
  • Phone: 615-425-4287
  • Fax:
Mailing address:
  • Phone: 615-425-4287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3006261
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number22229
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.13221
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: