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NPI Code Detail

MEDICARE: MS. MEGAN WILSON NP

MEDICARE: MS. MEGAN WILSON NP
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
1363LF0000XFamily Nurse PractitionerAPRN88468-FNP-BCWV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275986366
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGAN WILSON NP
Provider Business Mailing Address
First Line : PO BOX 1680
Second Line :
City : HUNTINGTON
State : WV
Zip : 25717-1680
Country : US
Telephone Number : 304-697-1396
Fax Number :
Provider Business Practice Location Address
First Line : 4270 US ROUTE 60
Second Line :
City : HUNTINGTON
State : WV
Zip : 25705-2936
Country : US
Telephone Number : 304-781-3640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2016
Last Update Date : 01/06/2026

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