Individual provider · Type 1 NPI
Andrea Marie Kubota, FNP-BC
Family Nurse Practitioner · Fairfax, VA
NPI number
1407257611
Active
Practice location
10301 New Guinea Rd
Fairfax, VA 22032-3268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0001206486 (VA) |
| Family Nurse Practitioner Primary | 363LF0000X | 0024171989 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1407257611
Andrea Marie Kubota, FNP-BC's National Provider Identifier is 1407257611, issued on Sep 7, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fairfax, VA. The record was last updated on Sep 7, 2014.