Healthcare Provider Details

I. General information

NPI: 1285034488
Provider Name (Legal Business Name): MAEGAN MCGRAW FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAEGAN OSBORNE

II. Dates (important events)

Enumeration Date: 08/26/2014
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 GLENWOOD PARK RD
PRINCETON WV
24739-7969
US

IV. Provider business mailing address

1924 GLENWOOD PARK RD
PRINCETON WV
24739-7969
US

V. Phone/Fax

Practice location:
  • Phone: 304-425-8128
  • Fax:
Mailing address:
  • Phone: 304-425-8128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN80066-FNP-BC
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: