Healthcare Provider Details
I. General information
NPI: 1649523069
Provider Name (Legal Business Name): MEGAN YERGLER RN, MSN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/23/2012
Last Update Date: 11/03/2023
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2130 W CENTRAL AVE STE 105
TOLEDO OH
43606-3819
US
IV. Provider business mailing address
333 N SUMMIT ST FL 7
TOLEDO OH
43604-1531
US
V. Phone/Fax
- Phone: 419-578-7141
- Fax: 419-537-5627
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN.334169-COA1 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN.CNP.13945 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: