Healthcare Provider Details

I. General information

NPI: 1508575994
Provider Name (Legal Business Name): MEGAN CARNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 11/15/2022
Certification Date: 11/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WMC HOME HEALTH 601 COLLIERS WAY
WEIRTON WV
26062
US

IV. Provider business mailing address

WEIRTON MEDICAL CENTER HOME HEALTH 601 COLLIERS WAY
WEIRTON WV
26062
US

V. Phone/Fax

Practice location:
  • Phone: 304-797-6495
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number07039
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: