Provider Demographics
NPI:1225624034
Name:BOYTEK, MEGAN PAIGE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:PAIGE
Last Name:BOYTEK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:PAIGE
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:4634 MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:YAWKEY
Mailing Address - State:WV
Mailing Address - Zip Code:25573-9727
Mailing Address - Country:US
Mailing Address - Phone:681-307-0610
Mailing Address - Fax:
Practice Address - Street 1:4825 MACCORKLE AVE SW STE A
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1365
Practice Address - Country:US
Practice Address - Phone:304-400-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-15
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV108000207Q00000X, 207RN0300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology