Healthcare Provider Details

I. General information

NPI: 1336084466
Provider Name (Legal Business Name): MEGAN ZUCKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 EUCLID AVE
CLEVELAND OH
44106-1712
US

IV. Provider business mailing address

10900 EUCLID AVE
CLEVELAND OH
44106-1712
US

V. Phone/Fax

Practice location:
  • Phone: 216-368-4700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0042027
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: