Provider Demographics
NPI:1528399458
Name:MEADOWS, DANA M (CFNP, DNP)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:M
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:CFNP, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 JOHNSON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2356
Mailing Address - Country:US
Mailing Address - Phone:740-264-8600
Mailing Address - Fax:740-346-0298
Practice Address - Street 1:4100 JOHNSON RD STE 100
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2356
Practice Address - Country:US
Practice Address - Phone:740-264-8600
Practice Address - Fax:740-346-0298
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-15
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.08225363LF0000X
OH08225NP363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0062223Medicaid
WV3810027979Medicaid
OHH290912Medicare PIN
OH0062223Medicaid