BRANDI RENEE FOSSUM

WOODBRIDGE, VA
NPI1265852032
Former NameBRANDI RENEE BURROWS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: VA  0024178671)
Additional Taxonomies163W00000X Registered Nurse
(Licence: VA  0001219358)
163WR0006X Registered Nurse, Registered Nurse First Assistant
(Licence: VA  0001219358)
Enumeration Date2014-04-21
Last Update Date2020-01-24
Business Address
Mrs. BRANDI RENEE FOSSUM ACNPC-AG, RNFA, CNOR
14605 POTOMAC BRANCH DR
WOODBRIDGE, VA 22191-3336
Phone number: 703-490-1112
Mailing Address
Mrs. BRANDI RENEE FOSSUM ACNPC-AG, RNFA, CNOR
14605 POTOMAC BRANCH DR
WOODBRIDGE, VA 22191-3336
Phone number: 703-490-1112