Healthcare Provider Details

I. General information

NPI: 1669770863
Provider Name (Legal Business Name): MEGAN BEST ANDERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2011
Last Update Date: 03/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7143 SHREVE RD
FALLS CHURCH VA
22043-3011
US

IV. Provider business mailing address

9955 FOREST VIEW PL
MONTGOMERY VILLAGE MD
20886-1105
US

V. Phone/Fax

Practice location:
  • Phone: 703-237-2219
  • Fax:
Mailing address:
  • Phone: 301-330-2041
  • 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: