Healthcare Provider Details

I. General information

NPI: 1326902453
Provider Name (Legal Business Name): MICHELLE A VANAGAS ACNPC-AG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW STE 2700N
WASHINGTON DC
20010-2927
US

IV. Provider business mailing address

106 IRVING ST NW STE 2700N
WASHINGTON DC
20010-2927
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-5800
  • Fax: 202-877-5885
Mailing address:
  • Phone: 202-877-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: