Healthcare Provider Details

I. General information

NPI: 1588956098
Provider Name (Legal Business Name): KARA E MACEDA ACNP-BC, ANP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2011
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N GEORGE MASON DR
ARLINGTON VA
22205-3610
US

IV. Provider business mailing address

1701 N GEORGE MASON DR
ARLINGTON VA
22205-3610
US

V. Phone/Fax

Practice location:
  • Phone: 703-558-6284
  • Fax: 703-558-5512
Mailing address:
  • Phone: 703-558-6284
  • Fax: 703-558-5512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number0024170006
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: