Healthcare Provider Details

I. General information

NPI: 1497547830
Provider Name (Legal Business Name): ASTRID MEENAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW STE 100
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

2710 N WYOMING ST
ARLINGTON VA
22213-1722
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-4447
  • Fax: 301-244-6301
Mailing address:
  • Phone: 703-638-8836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: