MEDICARE: MEGAN WEST PALOMBI RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	31020	SC

General Provider Information

NPI Number	:	1568340032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN WEST PALOMBI RN

Provider Business Mailing Address
First Line	:	3901 GOFF RD
Second Line	:
City	:	AYNOR
State	:	SC
Zip	:	29511-3831
Country	:	US
Telephone Number	:	843-602-8389
Fax Number	:

Provider Business Practice Location Address
First Line	:	3112 CASEY ST
Second Line	:
City	:	LORIS
State	:	SC
Zip	:	29569-2857
Country	:	US
Telephone Number	:	843-366-3920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2025
Last Update Date	:	09/18/2025

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