MEDICARE: DANA JUNE BLADES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1437021417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA JUNE BLADES

Provider Business Mailing Address
First Line	:	1250 N FAYETTE ST APT 4622
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2791
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1235 S CLARK ST STE 510
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-4362
Country	:	US
Telephone Number	:	202-544-5440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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Directions to “ DANA JUNE BLADES ” Practice Location

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