Healthcare Provider Details

I. General information

NPI: 1295310779
Provider Name (Legal Business Name): MEGHAN A VICARS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHAN A HILL NP

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 LOUGHBORO RD NW
WASHINGTON DC
20016-2633
US

IV. Provider business mailing address

6214 HOMESPUN LN
FALLS CHURCH VA
22044-1012
US

V. Phone/Fax

Practice location:
  • Phone: 202-660-6500
  • Fax: 805-879-5692
Mailing address:
  • Phone: 703-628-8351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024180452
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberNP1050043
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: