MEDICARE: BRITTANY YOUNG BAKER FNP

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	0024177566	VA

General Provider Information

NPI Number	:	1225693294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY YOUNG BAKER FNP

Provider Business Mailing Address
First Line	:	821 ONEIDA TRL
Second Line	:
City	:	COVINGTON
State	:	VA
Zip	:	24426-6919
Country	:	US
Telephone Number	:	540-969-8187
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 VALLEY RIDGE RD
Second Line	:
City	:	COVINGTON
State	:	VA
Zip	:	24426-6339
Country	:	US
Telephone Number	:	540-862-4146
Fax Number	:

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

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	05/06/2019

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