Provider Demographics
NPI:1225817158
Name:SHEARN, MEGAN L
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:L
Last Name:SHEARN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7166 DEERSVILLE AVENUE EXT SE
Mailing Address - Street 2:
Mailing Address - City:UHRICHSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44683-6512
Mailing Address - Country:US
Mailing Address - Phone:330-432-0704
Mailing Address - Fax:
Practice Address - Street 1:7166 DEERSVILLE AVENUE EXT SE
Practice Address - Street 2:
Practice Address - City:UHRICHSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44683-6512
Practice Address - Country:US
Practice Address - Phone:330-432-0704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant