Individual provider · Type 1 NPI

Amanda Baird Street

Nurse Practitioner · Haymarket, VA

NPI number 1649767773 Active

Practice location

15195 Heathcote Blvd
Haymarket, VA 20169-6242

Fax (703) 361-1811

Mailing address

PO Box 748613
Atlanta, GA 30384-8613

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X0024176366 (NC)
Nurse Practitioner Primary 363L00000X0024176366 (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 1649767773

Amanda Baird Street's National Provider Identifier is 1649767773, issued on Apr 14, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Haymarket, VA. The record was last updated on Feb 24, 2023.