Healthcare Provider Details

I. General information

NPI: 1992469720
Provider Name (Legal Business Name): MEREDITH HELSER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEREDITH MAHEN

II. Dates (important events)

Enumeration Date: 10/27/2021
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19455 DEERFIELD AVE STE 311
LANSDOWNE VA
20176-8102
US

IV. Provider business mailing address

19455 DEERFIELD AVE STE 311
LANSDOWNE VA
20176-8102
US

V. Phone/Fax

Practice location:
  • Phone: 703-723-9751
  • Fax:
Mailing address:
  • Phone: 703-723-9751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number0110-008416
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: