Individual
MEGAN BASTAWROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3028 JAVIER RD STE 300, FAIRFAX, VA 22031-4622
(703) 698-8960
Mailing address
2840 HUNTER RD, FAIRFAX, VA 22031-1418
(571) 283-9758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024191581
VA
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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