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

Emily Dettbarn

Individual provider Primary Care Nurse Practitioner · NPI 1023969417

Emily Dettbarn is a Primary Care Nurse Practitioner in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2026.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

2710 Prosperity Ave
Fairfax, VA 22031-4357
Phone: (702) 289-1290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 0024198237 (VA)

Record details

NPI number1023969417
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address4439 Rosenwald Ln, Fairfax, VA 22030-5194

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