Amanda Unalivia Buracker, PA-C
Physician Assistant · Fairfax, VA
Practice location
3025 Hamaker Ct Ste 340Fairfax, VA 22031-2237
- Phone
- (703) 849-8036
- Fax
- (703) 204-3448
NPI record
- NPI
- 1174901953
- Entity type
- Individual (Type 1)
- Enumeration date
- May 12, 2015
- Last updated
- January 15, 2025
- Certified
- January 15, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
0110005079 | VA |
| Dermatology Physician | 207N00000X |
PA2015-0018 | NM |
Mailing address
801 York StManitowoc, WI 54220-4630
- Phone
- (920) 663-9008
- Fax
- (920) 684-1439
Other practice locations (1)
- 3025 Hamaker Ct Ste 300, Fairfax, VA 22031-2237 · (703) 849-8036
About Amanda Buracker
Amanda Unalivia Buracker, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 3025 Hamaker Ct Ste 340, Fairfax, VA 22031-2237. The NPI number 1174901953 was assigned on May 12, 2015 and the record was last updated on January 15, 2025.
Amanda Buracker lists 2 licenses in the registry: #0110005079 (VA) for Physician Assistant; #PA2015-0018 (NM) for Dermatology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Amanda Unalivia Buracker, PA-C?
The NPI number is 1174901953.
What is the phone number of Amanda Buracker?
The phone number listed for the practice location is (703) 849-8036.
Where is Amanda Buracker located?
3025 Hamaker Ct Ste 340, Fairfax, VA 22031-2237.
What is the taxonomy code for Amanda Buracker?
The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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