Provider Demographics
NPI:1578366605
Name:GEZEN, MEGAN (NP-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:GEZEN
Suffix:
Gender:
Credentials:NP-C
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:WOOSLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:300 WOODWAY DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-3924
Mailing Address - Country:US
Mailing Address - Phone:434-851-0119
Mailing Address - Fax:434-851-0119
Practice Address - Street 1:300 WOODWAY DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-3924
Practice Address - Country:US
Practice Address - Phone:434-851-0119
Practice Address - Fax:434-851-0119
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024182492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily