Healthcare Provider Details

I. General information

NPI: 1851180418
Provider Name (Legal Business Name): HUNTER GARRETT PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8391 OLD COURTHOUSE RD STE 330
VIENNA VA
22182-4104
US

IV. Provider business mailing address

8391 OLD COURTHOUSE RD STE 330
VIENNA VA
22182-4104
US

V. Phone/Fax

Practice location:
  • Phone: 703-239-3470
  • Fax:
Mailing address:
  • Phone: 703-239-3470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR233475
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR233475
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024194827
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11041859
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN500327292
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: