NPI 1306686928 · live from the CMS NPI Registry
Meagan Brady Blackwell, DNP, CPNP-AC
Nurse Practitioner, Pediatrics in Cleveland, OH. National Provider Identifier 1306686928, active.
NPI record
| NPI | 1306686928 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2101 Adelbert Rd, Cleveland, OH 44106 |
| Practice phone | 216-844-1738 |
| Mailing address | 5155 Edenhurst Rd, Lyndhurst, OH 44124 |
| Enumerated | May 30, 2024 |
| Last updated | May 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN.432067 (OH) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | APRN.CNP.0035515 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.