Provider Demographics
NPI:1205242419
Name:CONDREY, MEGAN (PA-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:CONDREY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:2755 HARTLAND RD
Mailing Address - Street 2:STE 300
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-3545
Mailing Address - Country:US
Mailing Address - Phone:703-544-8971
Mailing Address - Fax:703-562-6994
Practice Address - Street 1:2826 OLD LEE HWY
Practice Address - Street 2:STE. 330
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4323
Practice Address - Country:US
Practice Address - Phone:703-544-8971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2018-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110004607363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical