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Provider Information for 1720614092


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BRITTANY B PEEBLES PMHNP


Sex: Female

NPI: 1720614092
Last Updated: 2024-10-11
Certification Date: 2024-10-11

Details

NameValue
NPI1720614092
Enumeration Date2020-03-19
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 7051 HEATHCOTE VILLAGE WAY STE 115
GAINESVILLE, VA 20155-3197
United States

Phone: 804-207-6737 | Fax:804-655-5994
 
Primary Practice Address 7051 HEATHCOTE VILLAGE WAY STE 115
GAINESVILLE, VA 20155-3197
United States

Phone: 804-207-6737 | Fax:
 
Secondary Practice Address(es)

99 AUTUMN ST
ALIQUIPPA, PA 15001-1301
United States

Phone: 724-857-3570 | Fax:724-375-5756
 

7440 SPRING VILLAGE DR
SPRINGFIELD, VA 22150-4446
United States

Phone: 703-923-4644 | Fax:703-923-4625
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 363L00000X - Nurse Practitioner VA0024184394
Yes 363LP0808X - Nurse Practitioner - Psych/Mental HealthVA0024184394