Fossum, Brandi Renee

Fossum, Brandi Renee is an sole proprietor health care provider with primary practice located at 14605 Potomac Branch Dr , Woodbridge VA 22191-3336. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Fossum, Brandi Renee can be contacted via phone (703) 490-1112.

Contact Information

Primary practice address
14605 Potomac Branch Dr Woodbridge VA 22191-3336
Phone: (703) 490-1112
Fax: (703) 878-8735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001219358 Virginia
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 0001219358 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024178671 Virginia

Profile Details

NPI number 1265852032
LBN Legal business name Fossum, Brandi Renee
Credentials ACNPC-AG, RNFA, CNOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2014
Last updated Jan 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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