IndividualActive
Amanda Street
NPI 1649767773 · Nurse Practitioner · Haymarket, VA
Provider details
- NPI number
- 1649767773
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0024176366 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
15195 Heathcote Blvd
Haymarket, VA 20169-6242
Phone: (571) 261-3529
Fax: (703) 361-1811
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 748613
Atlanta, GA 30384-8613
Registry dates
- Enumerated
- 2018-04-14
- Last updated
- 2023-02-24
- Certified
- 2023-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.