Individual provider · Type 1 NPI

Koda Brinker, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Fairfax, VA

NPI number 1043055502 Active

Practice location

10304 Eaton Pl Ste 100
Fairfax, VA 22030-2221

Mailing address

732 Daly St
Philadelphia, PA 19148-3248

Other practice locations

  • 1629 K St NW Ste 300, Washington, DC 20006-1631 · (571) 463-8620
  • 1140 3rd St NE Ste 200, Washington, DC 20002-7899 · (571) 463-8620
  • 800 S Frederick Ave Ste 200, Gaithersburg, MD 20877-4152 · (571) 463-8620

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNP500013147 (DC)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024190559 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

46 other providers at this address

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About NPI 1043055502

Koda Brinker, PMHNP-BC's National Provider Identifier is 1043055502, issued on Jun 27, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fairfax, VA. The record was last updated on Nov 26, 2024.