Individual
MEGHAN R PANKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
(844) 479-4545
Mailing address
1464 JEFFERSON ST N, LEWISBURG, WV 24901-1380
(304) 645-3220
(844) 479-4545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
104229
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104229
WV LICENSE
WV
Enumeration date
12/16/2019
Last updated
09/01/2020
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