Individual
KODA BRINKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
10304 EATON PL STE 100, FAIRFAX, VA 22030-2221
(571) 463-8620
Mailing address
732 DALY ST, PHILADELPHIA, PA 19148-3248
(312) 995-3630
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024190559
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP500013147
DC
Other
Enumeration date
06/27/2024
Last updated
11/26/2024
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