Provider Demographics
NPI:1295310779
Name:VICARS, MEGHAN A (NP)
Entity type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:A
Last Name:VICARS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:MEGHAN
Other - Middle Name:A
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:6214 HOMESPUN LN
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-1012
Mailing Address - Country:US
Mailing Address - Phone:703-628-8351
Mailing Address - Fax:
Practice Address - Street 1:5255 LOUGHBORO RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2633
Practice Address - Country:US
Practice Address - Phone:202-660-6500
Practice Address - Fax:805-879-5692
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024180452363LA2100X
DCNP1050043363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care