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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KODA BRINKER, PMHNP-BC

Active Sole Proprietor

KODA BRINKER, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FAIRFAX, Virginia. NPI 1043055502 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · FAIRFAX, VA

Registration Details

NPI Number
1043055502
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2024 (2.1025045079966 yrs)
Last Updated
Nov 26, 2024
Licenses
NP500013147 (DC)
0024190559 (VA)
Sole Proprietor
Yes

Practice Information

Address
10304 EATON PL STE 100
FAIRFAX, VA, 220302221
Browse VA providers · Browse ZIP 22030
Phone
5714638620

Other Psychiatric/Mental Health Nurse Practitioner Providers in FAIRFAX, VA

Name Credential NPI
MS. JAMI ALISON REMIEN PMHNP -BC, PNP 1235226002
VONDA ELAINE BAKER PMHNP/RN 1386772424
MS. FLORENCE HAGAN NP 1144538992
SUZANNE COX PMHNP-BC 1710272083
LIZA LOBRIN MSN 1265779631
NAIGA DOHNJI 1912337205
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.