# MEGAN RADCLIFF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053978007
- **Gender:** F
- **Credential:** FNP, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 103131 | WV | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2022140757 | WV | Yes |

## Other

- **Enumeration date:** 05/24/2019
- **Last updated:** 10/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004276177 | BCBS | WV |
| 05 | — | 1053978007 | — | WV |