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KHADIJA MACAULLY

Family Nurse Practitioner

NPI: 1265146229IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

0001220128(VA)
Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

0024186062(VA)

CMS Specialties

Education

OTHER

Class of 2022

Contact & Hours

Address
12018 SUNRISE VALLEY DR STE 100
RESTON, VA 20191

Quick Facts

NPI
1265146229
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
4

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