Provider Demographics
NPI:1518209220
Name:ADAMS, BRITTANY AMBER
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:AMBER
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:AMBER
Other - Last Name:DICKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1103 IRON RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-3142
Mailing Address - Country:US
Mailing Address - Phone:703-677-1513
Mailing Address - Fax:
Practice Address - Street 1:11484 WASHINGTON PLZ W
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-4344
Practice Address - Country:US
Practice Address - Phone:703-689-2180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001232602163W00000X
VA0024170765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily