| Doctor Name: | MRS. BROOKE VISSER MEEHAN |
| NPI Number: | 1013345305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0024171055 |
| Business Practice Address: | 2000 N Beauregard St Suite 330 Alexandria, VA - 223111748 |
| Business Phone Number: | 7033702400 |
| Business Fax Number: | |
| Mailing Address: | 1391 Pennsylvania Ave Se, #258 WASHINGTON |
| State: | DC |
| Postal Code: | 200033074 |
| Phone Number: | 2024152781 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2013 |
| NPI Last Update Date: | 10/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024171055 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |