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NPI Code Detail

MEDICARE: MEAGAN NICHOLE RADFORD FNP-BC

MEDICARE: MEAGAN NICHOLE RADFORD FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner0024179482VA

General Provider Information

NPI Number : 1003433590
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN NICHOLE RADFORD FNP-BC
Provider Business Mailing Address
First Line : 18877 JEB STUART HWY
Second Line :
City : STUART
State : VA
Zip : 24171-5223
Country : US
Telephone Number : 276-694-4466
Fax Number : 276-694-2909
Provider Business Practice Location Address
First Line : 18877 JEB STUART HWY
Second Line :
City : STUART
State : VA
Zip : 24171-5223
Country : US
Telephone Number : 276-340-9507
Fax Number : 276-694-2909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2020
Last Update Date : 05/10/2023

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Directions to “ MEAGAN NICHOLE RADFORD FNP-BC” Practice Location

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