Healthcare Provider Details

I. General information

NPI: 1265348072
Provider Name (Legal Business Name): HANA JADE LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH LAU PARKER

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N WASHINGTON ST STE 100
FALLS CHURCH VA
22046-3538
US

IV. Provider business mailing address

2250 SOUTHGATE SQ
RESTON VA
20191-1230
US

V. Phone/Fax

Practice location:
  • Phone: 571-766-8117
  • Fax:
Mailing address:
  • Phone: 817-808-3913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: