Provider Demographics
NPI:1376306241
Name:FITZGERALD, BRIANNA (RN)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6354 WALKER LN STE 350
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-3256
Mailing Address - Country:US
Mailing Address - Phone:703-678-1881
Mailing Address - Fax:
Practice Address - Street 1:6354 WALKER LN STE 350
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3256
Practice Address - Country:US
Practice Address - Phone:703-722-6700
Practice Address - Fax:833-973-3867
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1037569163W00000X
VA0024191553363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse