Megan Elizabeth Connelly, NP

Individual provider Active NPI Family Nurse Practitioner · Hinckley, OH

NPI 1669718052 · NPPES record last updated Dec 29, 2012

Key facts

NPI
1669718052
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
COA.14117-NP (OH)
Practice address
9 W 130TH St
Hinckley, OH 44233-9610
Phone
(330) 225-8458
NPI assigned
Dec 12, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.14117-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Everside Health, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.14117-NP OH Yes

Addresses

Primary practice location

9 W 130TH St
Hinckley, OH 44233-9610

Mailing address

1873 Lowell Cir
Brunswick, OH 44212-4240
Phone (330) 307-2638

Other providers in Hinckley, OH

All providers in Hinckley, OH · Family Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.