Provider Demographics
NPI:1619412434
Name:BRAR, HERMAN SINGH (RN)
Entity Type:Individual
Prefix:MR
First Name:HERMAN
Middle Name:SINGH
Last Name:BRAR
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 COCKERILL FARM LN
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-2689
Mailing Address - Country:US
Mailing Address - Phone:703-966-5763
Mailing Address - Fax:
Practice Address - Street 1:2660 COCKERILL FARM LN
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-2689
Practice Address - Country:US
Practice Address - Phone:703-966-5763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001243450163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse