Search › Virginia › 363LA2100X
Brandi Fossum, ACNPC-AG, RNFA, CNOR
NPI 1265852032 · on the registry since 2014 · sole proprietor
Practice
- Address
- 14605 Potomac Branch Dr
Woodbridge, VA 22191 - Phone
- (703) 490-1112
- Fax
- (703) 878-8735
- Organisation at this address
- Physical Medicine Associates Ltd
Centers For Advanced Orthopaedics, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 38
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163W00000X
163WR0006X - Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia