IndividualActive
Amanda Goddard, BSN RN MSN FNP-BC
NPI 1245878107 · Family Nurse Practitioner · Leesburg, VA
Provider details
- NPI number
- 1245878107
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- BSN RN MSN FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 0024178831 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
44035 Riverside Pkwy Ste 300
Leesburg, VA 20176-8260
Phone: (703) 554-6800
Fax: (703) 724-7503
Approximate (ZIP-level) locationGet directions
Mailing address
3040 Williams Dr Ste 100
Fairfax, VA 22031-4618
Registry dates
- Enumerated
- 2019-12-11
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.