Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miranda Lynn De Roos-Louden, PA-C, MPA, BIS

Individual provider Physician Assistant · NPI 1023987831

Miranda Lynn De Roos-Louden, PA-C, MPA, BIS is a Physician Assistant in Fairfax, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8613 Route 29 Ste 101
Fairfax, VA 22031-2171
Phone: (571) 350-8400
Fax: (703) 208-3108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Fairfax Ave, Norfolk, VA 23507-1914 — (757) 446-5600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011001252 (VA)

Record details

NPI number1023987831
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MPA , BIS
Sole proprietorNo
NPI enumeratedOctober 30, 2025
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

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