MRS. AMANDA C BROOKS CRNP - NPI 1407906258 - Nurse Practitioner in Fairfax, VA

Q: What is Amanda Brooks's NPI number?

The NPI number for Amanda Brooks is 1407906258. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Amanda Brooks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Brooks was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Amanda C Brooks Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMANDA C BROOKS CRNP (NPI 1407906258) is an individual nurse practitioner in Fairfax, Virginia, licensed in Virginia (0024124924) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1407906258

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. AMANDA C BROOKSCredential: CRNP

Location Address12255 FAIR LAKES PARKWAYFairfax, VA 22033-3952

Mailing Address2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 W Attn Theresa BrooksRockville, MD 20852-4908 · (301) 816-6660 · Fax (301) 816-6308

Phone(703) 934-5700

Fax(703) 934-5778

Sole ProprietorNo

Enumeration DateJanuary 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407906258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in VA · 0024124924

Definition

(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

12255 FAIR LAKES PARKWAY, Fairfax, VA 22033

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