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NPI Code Detail

MEDICARE: BRETT HAMPTON SHOWALTER APRN, FNP-C

MEDICARE: BRETT HAMPTON SHOWALTER APRN, FNP-C
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
1363LF0000XFamily Nurse Practitioner0024194673VA

General Provider Information

NPI Number : 1255286282
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT HAMPTON SHOWALTER APRN, FNP-C
Provider Business Mailing Address
First Line : 1906 BELLEVIEW AVE SE
Second Line :
City : ROANOKE
State : VA
Zip : 24014-1838
Country : US
Telephone Number : 540-981-8749
Fax Number : 540-985-3770
Provider Business Practice Location Address
First Line : 1906 BELLEVIEW AVE SE
Second Line :
City : ROANOKE
State : VA
Zip : 24014-1838
Country : US
Telephone Number : 540-981-8749
Fax Number : 540-985-3770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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