Provider Demographics
NPI:1316589336
Name:DEMOS, MEGAN ANN (MSN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANN
Last Name:DEMOS
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3702
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44513-3702
Mailing Address - Country:US
Mailing Address - Phone:330-798-0491
Mailing Address - Fax:330-303-4948
Practice Address - Street 1:1207 W STATE ST STE G
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4686
Practice Address - Country:US
Practice Address - Phone:330-798-0491
Practice Address - Fax:330-303-4948
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025843363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health