Healthcare Provider Details

I. General information

NPI: 1568913895
Provider Name (Legal Business Name): MEGAN SIMPSON NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2016
Last Update Date: 09/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 NATIONAL RD
WHEELING WV
26003
US

IV. Provider business mailing address

50940 REHM RD
SAINT CLAIRSVILLE OH
43950-8515
US

V. Phone/Fax

Practice location:
  • Phone: 304-233-3627
  • Fax:
Mailing address:
  • Phone: 740-310-7697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN79732NP
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.023528
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: