# MR. MICHAEL SCOGGAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447941646
- **Gender:** Man
- **Credential:** MSN, APRN, ACNPC-AG

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 116447 | WV | — |
| 363L00000X | Nurse Practitioner | APRN.CNP.0033854 | OH | — |
| 363LA2100X | Acute Care Nurse Practitioner | 116447 | WV | — |
| 363LA2100X | Acute Care Nurse Practitioner | APRN.CNP.0033854 | OH | — |
| 363LA2200X | Adult Health Nurse Practitioner | 116447 | WV | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | APRN.CNP.0033854 | OH | — |
| 363LG0600X | Gerontology Nurse Practitioner | 116447 | WV | — |
| 363LG0600X | Gerontology Nurse Practitioner | APRN.CNP.0033854 | OH | — |

## Other

- **Enumeration date:** 05/17/2023
- **Last updated:** 05/07/2024