Provider Demographics
NPI:1003401514
Name:BARBARISI, BRITTANY LEIGH (PA-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEIGH
Last Name:BARBARISI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10287 OLD VALLEY PIKE
Mailing Address - Street 2:
Mailing Address - City:MOUNT JACKSON
Mailing Address - State:VA
Mailing Address - Zip Code:22842-9562
Mailing Address - Country:US
Mailing Address - Phone:703-429-9657
Mailing Address - Fax:703-429-9657
Practice Address - Street 1:10287 OLD VALLEY PIKE
Practice Address - Street 2:
Practice Address - City:MOUNT JACKSON
Practice Address - State:VA
Practice Address - Zip Code:22842-9562
Practice Address - Country:US
Practice Address - Phone:703-429-9657
Practice Address - Fax:703-429-9657
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110008189363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant