Individual
MEGAN ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 MACCORKLE AVE SE, CHARLESTON, WV 25304-1334
(304) 388-2476
Mailing address
3415 MACCORKLE AVE SE, CHARLESTON, WV 25304-1334
(304) 388-2476
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
126708
WV
363L00000X
Nurse Practitioner
Primary
2026038204
WV
363LF0000X
Family Nurse Practitioner
Primary
126708
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215867668
—
WV
Enumeration date
05/19/2026
Last updated
08/03/2026
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