Healthcare Provider Details

I. General information

NPI: 1083186381
Provider Name (Legal Business Name): MEGAN LOWERS SCANLAN WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2018
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4316 EVERGREEN LN
ANNANDALE VA
22003-2070
US

IV. Provider business mailing address

6 MEMORIAL DR NW
LEESBURG VA
20176-2711
US

V. Phone/Fax

Practice location:
  • Phone: 703-658-3100
  • Fax: 703-658-3103
Mailing address:
  • Phone: 540-454-0171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024176084
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number0001235414
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: