Provider Demographics
NPI:1982446514
Name:MEADOWS, ALYSON PAIGE (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:PAIGE
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1742 BOOTH BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:GRUNDY
Mailing Address - State:VA
Mailing Address - Zip Code:24614-7484
Mailing Address - Country:US
Mailing Address - Phone:276-312-5693
Mailing Address - Fax:
Practice Address - Street 1:2011 2ND ST
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641-2305
Practice Address - Country:US
Practice Address - Phone:276-345-9900
Practice Address - Fax:276-345-9901
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024190428363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1982446514Medicaid