Healthcare Provider Details

I. General information

NPI: 1245056985
Provider Name (Legal Business Name): BRITTANY THERNISHE MEHEUX NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 LANGSTON BLVD
ARLINGTON VA
22207-3721
US

IV. Provider business mailing address

8410 STAGGERS FARM CT
LAUREL MD
20708-1425
US

V. Phone/Fax

Practice location:
  • Phone: 703-243-7640
  • Fax: 703-202-9458
Mailing address:
  • Phone: 301-957-1479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR213414
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024192330
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: