Provider Demographics
NPI:1225693294
Name:BAKER, BRITTANY YOUNG (FNP)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:YOUNG
Last Name:BAKER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 ONEIDA TRL
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24426-6919
Mailing Address - Country:US
Mailing Address - Phone:540-969-8187
Mailing Address - Fax:
Practice Address - Street 1:2501 VALLEY RIDGE RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426-6339
Practice Address - Country:US
Practice Address - Phone:540-862-4146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024177566363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily