Provider Demographics
NPI:1376934455
Name:HERRERA, BRENDA (FNP-C)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:HERRERA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 GLENN DR STE 11
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-4472
Mailing Address - Country:US
Mailing Address - Phone:703-646-9974
Mailing Address - Fax:703-646-9975
Practice Address - Street 1:403 GLENN DR STE 11
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-4472
Practice Address - Country:US
Practice Address - Phone:703-646-9974
Practice Address - Fax:703-646-9975
Is Sole Proprietor?:No
Enumeration Date:2015-02-11
Last Update Date:2023-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172351363LF0000X, 363LP2300X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health