Provider Demographics
NPI:1023477924
Name:MEEKMA, DENISA IULIA MOREA (MMS, PA-C)
Entity type:Individual
Prefix:
First Name:DENISA
Middle Name:IULIA MOREA
Last Name:MEEKMA
Suffix:
Gender:F
Credentials:MMS, PA-C
Other - Prefix:
Other - First Name:DENISA
Other - Middle Name:IULIA
Other - Last Name:MOREA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 LUNA PARK DR APT 429
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22305-3165
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7617 LITTLE RIVER TPKE STE 710
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2635
Practice Address - Country:US
Practice Address - Phone:703-941-0267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-19
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601007512363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant