Provider Demographics
NPI:1588312763
Name:O'NEIL, MEGAN MARIE (CNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARIE
Last Name:O'NEIL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22323 SANDY LN
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-2561
Mailing Address - Country:US
Mailing Address - Phone:440-862-6955
Mailing Address - Fax:
Practice Address - Street 1:29101 HEALTH CAMPUS DR STE 425
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5266
Practice Address - Country:US
Practice Address - Phone:440-827-5058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0030120363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner