Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 0024176817 | VA |
N | 363LG0600X | Nurse Practitioner - Gerontology | 0024176817 | VA |
NPI | 1033686035 |
---|---|
Provider Name | Brianna Garcia |
First Address | Brambleton, VA 20148-6999 |
Second Address | Reston, VA 20190-4342 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2018 |
Last Update Date | 23/08/2021 |