Provider Demographics
NPI:1588135412
Name:BYRD, MEGAN ELIZABETH (APRNCNM)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:BYRD
Suffix:
Gender:
Credentials:APRNCNM
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3170 KETTERING BLVD BLDG B2ND
Mailing Address - Street 2:
Mailing Address - City:MORAINE
Mailing Address - State:OH
Mailing Address - Zip Code:45439-1924
Mailing Address - Country:US
Mailing Address - Phone:937-991-3188
Mailing Address - Fax:
Practice Address - Street 1:7117 DUTCHLAND PKWY
Practice Address - Street 2:
Practice Address - City:LIBERTY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45044-9096
Practice Address - Country:US
Practice Address - Phone:513-770-2797
Practice Address - Fax:513-770-2798
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.019391367A00000X
FLAPRN11022303367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0334268Medicaid