person
Miss Mikaela Jane Egan, BS
Student in an Organized Health Care Education/Training Program in Fairfax, Virginia
NPI 1982949756

Mikaela Jane Egan is a Student in an Organized Health Care Education/Training Program based in Reston, VA. Mikaela Jane Egan practices in Fairfax, VA and has the professional credentials of BS. The NPI Number for Mikaela Jane Egan is 1982949756 and holds a License No. (Virginia).

The current practice location address for Mikaela Jane Egan is 11240 Waples Mill Rd, Fairfax, VA and can be reached out via phone at 703-585-1095.

Location: 11240 Waples Mill Rd, Fairfax, VA, 20190-5157
person
Provider Profile Details
NPI Number
1982949756
Provider Name
Mikaela Jane Egan
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
11240 Waples Mill Rd, Fairfax, VA, 20190-5157
Phone Number
703-585-1095
Fax Number
Provider Enumeration Date
12/05/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11240 Waples Mill Rd
City
State
Zip
22030-6078
Phone Number
703-585-1095
Fax Number
person
Provider Business Mailing Address Details
Address
11240 Waples Mill Rd
City
State
Zip
22030-6078
Phone Number
703-585-1095
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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