Provider Demographics
NPI:1033550835
Name:DAHLHEIMER, MEGAN MARY (RN, CPNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARY
Last Name:DAHLHEIMER
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:MARY
Other - Last Name:LEVERING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CPNP
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-8353
Mailing Address - Fax:330-543-3891
Practice Address - Street 1:1 PERKINS SQ
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1063
Practice Address - Country:US
Practice Address - Phone:330-543-8353
Practice Address - Fax:330-543-3891
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.14757-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner