Individual provider · Type 1 NPI

Emily Julie-Ann Seegolam

Student in an Organized Health Care Education/Training Program · Haymarket, VA

NPI number 1073487435 Active

Practice location

15225 Heathcote Blvd
Haymarket, VA 20169-6264

Mailing address

12140 Formby St
Bristow, VA 20136-2047

Other practice locations

  • 4400 University Dr, Fairfax, VA 22030-4444 · (703) 993-1000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0001312707 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073487435

Emily Julie-Ann Seegolam's National Provider Identifier is 1073487435, issued on Sep 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Haymarket, VA. The record was last updated on Sep 30, 2025.