Individual
MEGAN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
924 CROSS LANES DR, CROSS LANES, WV 25313-1315
(304) 776-9872
Mailing address
924 CROSS LANES DR, CROSS LANES, WV 25313-1315
(304) 776-9872
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
80999
WV
Other
Enumeration date
07/02/2017
Last updated
01/29/2020
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