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

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

Other providers in Fairfax