Healthcare Provider Details

I. General information

NPI: 1720941065
Provider Name (Legal Business Name): MICHAELA VERNA MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHAELA TAYLOR MS, CGC

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9905 MEDICAL CENTER DR STE 200
ROCKVILLE MD
20850-6535
US

IV. Provider business mailing address

9905 MEDICAL CENTER DR STE 200
ROCKVILLE MD
20850-6535
US

V. Phone/Fax

Practice location:
  • Phone: 301-785-6312
  • Fax:
Mailing address:
  • Phone: 301-424-6231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberG0000285
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: