MEDICARE: AUDREY MCCANN

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	171100000X	Acupuncturist	U03308	MD

General Provider Information

NPI Number	:	1881541316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDREY MCCANN

Provider Business Mailing Address
First Line	:	2444 GARNETT DR
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22311-4907
Country	:	US
Telephone Number	:	414-758-9820
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 OBERLIN AVE
Second Line	:
City	:	GLEN ECHO
State	:	MD
Zip	:	20812
Country	:	US
Telephone Number	:	414-758-9820
Fax Number	:

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

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “ AUDREY MCCANN ” Practice Location

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