Healthcare Provider Details

I. General information

NPI: 1558023952
Provider Name (Legal Business Name): MEGAN MCLAUGHLIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN HABER RN

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 10/13/2021
Certification Date: 10/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2542 LANGHORNE RD
LYNCHBURG VA
24501-1602
US

IV. Provider business mailing address

212 OTTERVIEW RD
FOREST VA
24551-2902
US

V. Phone/Fax

Practice location:
  • Phone: 434-200-5297
  • Fax:
Mailing address:
  • Phone: 215-783-1969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024182903
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: