Individual provider · Type 1 NPI

Amanda C. Brooks, CRNP

Nurse Practitioner · Fairfax, VA

NPI number 1407906258 Active

Practice location

12255 Fair Lakes Parkway
Fairfax, VA 22033-3952

Fax (703) 934-5778

Mailing address

2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 W Attn Theresa Brooks
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024124924 (VA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1407906258

Amanda C. Brooks, CRNP's National Provider Identifier is 1407906258, issued on Jan 12, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairfax, VA. The record was last updated on Jul 8, 2007.