Provider Demographics
NPI:1447249024
Name:MCKEWAN, MEGAN (BS,RNC, OGNP)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name:MCKEWAN
Suffix:
Gender:F
Credentials:BS,RNC, OGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 MERLINS WAY
Mailing Address - Street 2:
Mailing Address - City:CHECK
Mailing Address - State:VA
Mailing Address - Zip Code:24072-3113
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:RU STATION 6899
Practice Address - Street 2:ADAMS & TYLER STREETS
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24142
Practice Address - Country:US
Practice Address - Phone:540-831-6667
Practice Address - Fax:540-831-6638
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017000012163W00000X
VA0024056430363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology