Provider Demographics
NPI:1942817945
Name:LUNSFORD, MEGAN F (FNP-C)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:F
Last Name:LUNSFORD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:F
Other - Last Name:CUEVAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:3203 W STATE ROUTE 113
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:OH
Mailing Address - Zip Code:44857-9632
Mailing Address - Country:US
Mailing Address - Phone:419-202-6801
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-9632
Practice Address - Country:US
Practice Address - Phone:419-202-6801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH391248163W00000X
OH0027813363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH391248OtherOHIO BOARD OF NURSING
OH0027813OtherOHIO BOARD OF NURSING
OHF09201635OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
OHF09201635OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS