Healthcare Provider Details

I. General information

NPI: 1043995913
Provider Name (Legal Business Name): MAEGAN BIRR IHP, AADP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 06/19/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4631 E COLLINWOOD DR
GILBERT AZ
85298-4013
US

IV. Provider business mailing address

2473 S. HIGLEY RD STE 104 PMB 5127
GILBERT AZ
85295
US

V. Phone/Fax

Practice location:
  • Phone: 425-610-9235
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: