- Practice location
- 1101 Wilson Blvd Ste 900, Arlington, VA 22209-2248
- Phone
- 551-224-4546
- Fax
- —
- Last updated
- September 12, 2025
Renee Brack is a Nurse Practitioner, Family based in Arlington, VA. Renee Brack practices in Arlington, VA. The NPI Number for Renee Brack is 1790293215 and holds a License No. 0024191377 (VA). The current practice location address for Renee Brack is 1101 Wilson Blvd Ste 900, Arlington, VA 22209-2248 and can be reached out via phone at 551-224-4546.
Provider Profile Details
- NPI Number
- 1790293215
- Provider Name
- Renee Brack
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1101 Wilson Blvd Ste 900, Arlington, VA 22209-2248
- Phone Number
- 551-224-4546
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 18, 2018
- Last Update Date
- September 12, 2025
- Certification Date
- September 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1101 Wilson Blvd Ste 900
Arlington, VA 22209-2248 - City
- Arlington
- State
- Virginia
- Zip
- 22209-2248
- Phone Number
- 551-224-4546
Provider Business Mailing Address Details
- Address
- 2 University Plz Ste 204
Hackensack, NJ 07601-6211 - City
- Hackensack
- State
- NJ
- Zip
- 07601-6211
- Phone Number
- 551-295-8223
License Information
- License Number (1)
- 0024191377
- License State (1)
- VA
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X · Primary
- License Number (2)
- 5010222
- License State (2)
- NC
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X
- License Number (3)
- 261868
- License State (3)
- NC
- Taxonomy (3)
- Registered Nurse · 163W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Renee Brack?
The NPI number of Renee Brack is 1790293215. It was assigned on January 18, 2018 and is currently active in the NPPES registry.
What is the specialty of Renee Brack?
Renee Brack is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in VA under license number 0024191377.
Where does Renee Brack practice?
The practice location is 1101 Wilson Blvd Ste 900, Arlington, VA 22209-2248. The office can be reached at 551-224-4546 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790293215 directly on the NPPES registry website.