Individual
AUTUMN BROOKE PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP-PC
Contact information
Practice address
3914 CENTREVILLE RD STE 101, CHANTILLY, VA 20151-3289
(703) 481-8600
Mailing address
12178 CHESHIRE CT, BRISTOW, VA 20136-2409
(804) 314-5441
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024182289
VA
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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