| NPI | 1962159525 |
|---|---|
| Former Name | MEGAN NICOLE FAUSNAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0030935) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2024-08-09 |