Individual provider · Type 1 NPI

Tiffany Lauren Brazile, MD

Student in an Organized Health Care Education/Training Program · Fairfax, VA

NPI number 1811488703 Active

Practice location

8081 Innovation Park Dr Ste 700
Fairfax, VA 22031-4867

Call (571) 472-2900 Map

Fax (571) 472-2901

Mailing address

PO Box 37174
Baltimore, MD 21297-3174

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811488703

Tiffany Lauren Brazile, MD's National Provider Identifier is 1811488703, issued on May 25, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairfax, VA. The record was last updated on Aug 28, 2026.