Individual
MEAGAN BRADY BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-AC
Contact information
Practice address
2101 ADELBERT RD, CLEVELAND, OH 44106-2624
(216) 844-1738
Mailing address
5155 EDENHURST RD, LYNDHURST, OH 44124-1216
(724) 263-0311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.432067
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0035515
OH
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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