Provider Demographics
NPI:1043995913
Name:BIRR, MAEGAN (IHP, AADP)
Entity Type:Individual
Prefix:
First Name:MAEGAN
Middle Name:
Last Name:BIRR
Suffix:
Gender:F
Credentials:IHP, AADP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2473 S. HIGLEY RD
Mailing Address - Street 2:STE 104 PMB 5127
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4631 E COLLINWOOD DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-4013
Practice Address - Country:US
Practice Address - Phone:425-610-9235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach