Provider Demographics
NPI:1821500521
Name:HARRIS, BRITTANY BECZKIEWICZ (FNP-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:BECZKIEWICZ
Last Name:HARRIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:NOEL
Other - Last Name:BECZKIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1471 HOLLY GROVE DR
Mailing Address - Street 2:
Mailing Address - City:BUMPASS
Mailing Address - State:VA
Mailing Address - Zip Code:23024-2335
Mailing Address - Country:US
Mailing Address - Phone:804-339-4621
Mailing Address - Fax:
Practice Address - Street 1:12018 SUNRISE VALLEY DR STE 400
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-3434
Practice Address - Country:US
Practice Address - Phone:615-224-5026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-02
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175389363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily