Healthcare Provider Details

I. General information

NPI: 1497662563
Provider Name (Legal Business Name): BRITTANY ANTEZANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 MAIN ST
WARRENTON VA
20186-3366
US

IV. Provider business mailing address

9140 ARCTIC FOX WAY
BEALETON VA
22712-5686
US

V. Phone/Fax

Practice location:
  • Phone: 540-316-0829
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0906017394
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: