Individual
MR. MICHAEL SCOGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, ACNPC-AG
Contact information
Practice address
418 GRAND PARK DR STE 311, PARKERSBURG, WV 26105-4000
(304) 865-5105
Mailing address
418 GRAND PARK DR STE 311, PARKERSBURG, WV 26105-4000
(304) 865-5105
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
116447
WV
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
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