Individual
BREANNE HABERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3903 FAIR RIDGE DR STE 218, FAIRFAX, VA 22033-2945
(703) 870-3750
(855) 749-9998
Mailing address
2305 N VAN BUREN CT, ARLINGTON, VA 22205-1941
(509) 899-1693
(855) 749-9998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60919257
WA
363LF0000X
Family Nurse Practitioner
Primary
0024192364
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024192364
STATE OF VIRGINIA-LICENSE
VA
01
—
AP60919257
STATE OF WASHINGTON - LICENSE
WA
Enumeration date
06/25/2019
Last updated
05/27/2025
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