Individual provider · Type 1 NPI

Khadija Macaully

Family Nurse Practitioner · Reston, VA

NPI number 1265146229 Active

Practice location

12018 Sunrise Valley Dr Ste 100
Reston, VA 20191-3444

Call (571) 262-2261 Map

Mailing address

202 Marianne Pl
Stafford, VA 22554-1621

Other practice locations

  • 12018 Sunrise Valley Dr Ste 100, Reston, VA 20191-3444 · (571) 262-2261

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0001220128 (VA)
Family Nurse Practitioner Primary 363LF0000X0024186062 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1265146229

Khadija Macaully's National Provider Identifier is 1265146229, issued on Jan 12, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Reston, VA. The record was last updated on Aug 20, 2025.