| Doctor Name: | MRS. MEGAN Y BOOGAART |
| NPI Number: | 1063412435 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | NP-08628 |
| Business Practice Address: | 54 S State St Suite 302 Painesville, OH - 440773445 |
| Business Phone Number: | 4403528686 |
| Business Fax Number: | 4403528107 |
| Mailing Address: | 2369 Trailard Dr, WILLOUGHBY |
| State: | OH |
| Postal Code: | 440949641 |
| Phone Number: | 4405271412 |
| Fax Number: | |
| NPI Enumeration Date: | 07/28/2005 |
| NPI Last Update Date: | 12/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-08628 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |