Provider Demographics
NPI:1558765636
Name:BROZICK, AMY J (CPNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:BROZICK
Suffix:
Gender:F
Credentials:CPNP
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Mailing Address - Street 1:8640 SUDLEY ROAD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110
Mailing Address - Country:US
Mailing Address - Phone:703-330-3939
Mailing Address - Fax:703-331-0959
Practice Address - Street 1:8640 SUDLEY RD
Practice Address - Street 2:SUITE 306
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4420
Practice Address - Country:US
Practice Address - Phone:703-330-3939
Practice Address - Fax:703-331-0959
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2020-06-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024171122363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics