Amanda C. Brooks, CRNP

Nurse Practitioner · Fairfax, VA

Individual Active NPI

NPI number 1407906258

Practice location

12255 Fair Lakes Parkway
Fairfax, VA 22033-3952
Phone
(703) 934-5700
Fax
(703) 934-5778

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NPI record

NPI
1407906258
Entity type
Individual (Type 1)
Enumeration date
January 12, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 0024124924 VA

Mailing address

2101 East Jefferson Street
Ppqa Medicare Compliance Unit 6 W Attn Theresa Brooks
Rockville, MD 20852-4908
Phone
(301) 816-6660
Fax
(301) 816-6308

About Amanda Brooks

Amanda C. Brooks, CRNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 12255 Fair Lakes Parkway, Fairfax, VA 22033-3952. The NPI number 1407906258 was assigned on January 12, 2007 and the record was last updated on July 8, 2007.

Amanda Brooks lists a license in the registry: #0024124924 (VA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda C. Brooks, CRNP?

The NPI number is 1407906258.

What is the phone number of Amanda Brooks?

The phone number listed for the practice location is (703) 934-5700.

Where is Amanda Brooks located?

12255 Fair Lakes Parkway, Fairfax, VA 22033-3952.

What is the taxonomy code for Amanda Brooks?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

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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