Healthcare Provider Details

I. General information

NPI: 1033000328
Provider Name (Legal Business Name): MEAGHAN PETERS CSFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 AMHERST ST
WINCHESTER VA
22601-2808
US

IV. Provider business mailing address

318 DIXIE AIRPORT RD
MADISON HEIGHTS VA
24572-4504
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-8000
  • Fax:
Mailing address:
  • Phone: 434-229-4340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number0136000849
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: