Provider Demographics
NPI:1144793613
Name:HALL, MEGAN ELISABETH (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELISABETH
Last Name:HALL
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 LEE AVE
Mailing Address - Street 2:
Mailing Address - City:NITRO
Mailing Address - State:WV
Mailing Address - Zip Code:25143-2304
Mailing Address - Country:US
Mailing Address - Phone:304-543-5517
Mailing Address - Fax:
Practice Address - Street 1:2345 CHESTERFIELD AVE STE 301
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1064
Practice Address - Country:US
Practice Address - Phone:304-344-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN88671-FNP-BC363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily