Provider Demographics
NPI:1932463510
Name:ARTHUR, MEAGAN ASHLEY (NP)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:ASHLEY
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:ASHLEY
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2955 MARKET ST
Mailing Address - Street 2:SUITE C4
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-6575
Mailing Address - Country:US
Mailing Address - Phone:540-381-0344
Mailing Address - Fax:540-381-1462
Practice Address - Street 1:2955 MARKET ST
Practice Address - Street 2:SUITE C4
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-6575
Practice Address - Country:US
Practice Address - Phone:540-381-0344
Practice Address - Fax:540-381-1462
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170152363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1932463510Medicaid
VAVV7977AMedicare PIN