Healthcare Provider Details

I. General information

NPI: 1902376601
Provider Name (Legal Business Name): MEGAN MAYNARD APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. MEGAN LERAE HORTON

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 HAL GREER BLVD
HUNTINGTON WV
25701-4114
US

IV. Provider business mailing address

1448 10TH AVE STE 304
HUNTINGTON WV
25701-3579
US

V. Phone/Fax

Practice location:
  • Phone: 304-399-6500
  • Fax: 304-399-6621
Mailing address:
  • Phone: 304-691-8887
  • Fax: 304-691-8591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number83431
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3012042
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number114780
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number4018424
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: