MEDICARE: MS. APRIL JAE BRITTAIN

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	363LA2200X	Adult Health Nurse Practitioner	0024134372	VA

General Provider Information

NPI Number	:	1518208602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. APRIL JAE BRITTAIN

Provider Business Mailing Address
First Line	:	8714 SUDLEY RD
Second Line	:
City	:	MANASSAS
State	:	VA
Zip	:	20110-4405
Country	:	US
Telephone Number	:	703-361-4357
Fax Number	:	703-361-0346

Provider Business Practice Location Address
First Line	:	8714 SUDLEY RD
Second Line	:
City	:	MANASSAS
State	:	VA
Zip	:	20110-4405
Country	:	US
Telephone Number	:	703-361-4357
Fax Number	:	703-361-0346

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

Provider Enumeration Date	:	03/14/2013
Last Update Date	:	03/14/2013

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