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Contact Information

BRENDA R CRUM, CFNP
2280 OPITZ BLVD STE 110
WOODBRIDGE, VA22191-3362
 Phone: 703-523-8880
 Fax: 757-648-1954
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for BRENDA R CRUM · (Female)

NPI # 1306883418
Status Active
Credentials CFNP
Entity Individual
Enumeration date 05/31/2006
Last updated 07/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0024131318
  • VA License # 24131318
  • VA Medicaid 7792085
Hospital affiliation(s)
  • SENTARA POTOMAC HOSPITAL - (Acute Care)
    2300 OPITZ BOULEVARD
    WOODBRIDGE, VA 22191
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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