Individual
MEAGAN LEE KISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010
(202) 476-4000
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
00241773783
VA
363L00000X
Nurse Practitioner
R197026
MD
363L00000X
Nurse Practitioner
Primary
RN1042251
DC
363LP0200X
Pediatric Nurse Practitioner
002413783
VA
363LP0200X
Pediatric Nurse Practitioner
RN1042251
DC
Other
Enumeration date
08/11/2016
Last updated
07/27/2021
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