Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 0024179904 | VA |
NPI | 1417568262 |
---|---|
Provider Name | Brittany Gilbert |
First Address | Alexandria, VA 22304-1920 |
Second Address | Falls Church, VA 22042-3300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2020 |
Last Update Date | 14/08/2020 |