Provider Demographics
NPI:1184492456
Name:PFLUM, MEGAN LYNN (NP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LYNN
Last Name:PFLUM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 FARRELL CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45233-1677
Mailing Address - Country:US
Mailing Address - Phone:513-451-6871
Mailing Address - Fax:513-451-6876
Practice Address - Street 1:425 FARRELL CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45233-1677
Practice Address - Country:US
Practice Address - Phone:513-451-6871
Practice Address - Fax:513-451-6876
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCNP0035367363LP2300X
OHAPRN.CNP.0035367363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care