Individual
ANDREW PAUL BROOMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
5900 FORT DR STE 201, CENTREVILLE, VA 20121-2425
(703) 830-8113
Mailing address
5900 FORT DR STE 201, CENTREVILLE, VA 20121-2425
(703) 830-8113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001275982
VA
363LF0000X
Family Nurse Practitioner
Primary
0024196451
VA
Other
Enumeration date
01/29/2026
Last updated
03/08/2026
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