Individual provider · Type 1 NPI

Mikaela Jane Egan, B.S.

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

NPI number 1982949756 Active

Practice location

11240 Waples Mill Rd, Suite 202
Fairfax, VA 22030-6078

Call (703) 585-1095 Map

Mailing address

11232 Chestnut Grove Sq, Unit 234
Reston, VA 20190-5157

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1982949756

Mikaela Jane Egan, B.S.'s National Provider Identifier is 1982949756, issued on Dec 5, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairfax, VA. The record was last updated on Dec 5, 2012.