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Individual

MRS. BRITTANI VICKERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, PNP-PC

Contact information

Practice address
4424 COSTELLO WAY, HAYMARKET, VA 20169-2996
(703) 753-1895
Mailing address
11310 BRINKER CT, CULPEPER, VA 22701-5102
(540) 423-7808

Taxonomy

Speciality
Code
Description
License number
State
163WN0003X
Low-Risk Neonatal Registered Nurse
104410158
VA
208000000X
Pediatrics Physician
202119582
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024180960
VA

Other

Enumeration date
07/07/2021
Last updated
07/12/2021
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