MEDICARE: BRYNN M FARLOW CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024194339	VA
2	363LC1500X	Community Health Nurse Practitioner	NP500015049	DC
3	363LF0000X	Family Nurse Practitioner	R214825	MD

General Provider Information

NPI Number	:	1134615024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYNN M FARLOW CRNP

Provider Business Mailing Address
First Line	:	6807 JEFFERSON AVE
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-1932
Country	:	US
Telephone Number	:	443-564-6047
Fax Number	:

Provider Business Practice Location Address
First Line	:	8503 ARLINGTON BLVD STE 400
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22031-4629
Country	:	US
Telephone Number	:	703-207-8600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2018
Last Update Date	:	06/01/2026

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