MEDICARE: MEGHAN HERMAN CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.0028396	OH

General Provider Information

NPI Number	:	1841876232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN HERMAN CNP

Provider Business Mailing Address
First Line	:	1404 CARDINAL RD
Second Line	:
City	:	BOWLING GREEN
State	:	OH
Zip	:	43402-9357
Country	:	US
Telephone Number	:	419-494-3728
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 ARLINGTON AVE # MS 1186
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2595
Country	:	US
Telephone Number	:	419-383-6966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	03/24/2021

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