Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanne Haberman

Individual provider Nurse Practitioner · NPI 1366003899

Breanne Haberman is a Nurse Practitioner in Fairfax, Virginia. Qualified in 2018, 8 years ago. Licensed in Virginia and Washington.

Years since qualifying
8
Licensed in
VA, WA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3903 Fair Ridge Dr Ste 218
Fairfax, VA 22033-2945
Phone: (703) 870-3750
Fax: (855) 749-9998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024192364 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP60919257 (WA)

Record details

NPI number1366003899
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2019
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address2305 N Van Buren Ct, Arlington, VA 22205-1941

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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