IndividualActive
Amanda Brooks, CRNP
NPI 1407906258 · Nurse Practitioner · Fairfax, VA
Provider details
- NPI number
- 1407906258
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- 0024124924 (VA)
Practice location
12255 Fair Lakes Parkway
Fairfax, VA 22033-3952
Phone: (703) 934-5700
Fax: (703) 934-5778
Mailing address
2101 East Jefferson Street
Rockville, MD 20852-4908
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.