Individual
BRENDA NAKATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10520 JUDICIAL DR, FAIRFAX, VA 22030-5115
(571) 567-2232
Mailing address
10520 JUDICIAL DR, FAIRFAX, VA 22030-5115
(571) 567-2232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002089632
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024196335
VA
Other
Enumeration date
09/30/2016
Last updated
04/13/2026
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