MEDICARE: DR. ROBIN CHRISTINE BRANNIGAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	53701	VA

General Provider Information

NPI Number	:	1952494965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN CHRISTINE BRANNIGAN M.D.

Provider Business Mailing Address
First Line	:	1495 CHAIN BRIDGE RD
Second Line	:	202
City	:	MC LEAN
State	:	VA
Zip	:	22101-5727
Country	:	US
Telephone Number	:	703-591-5912
Fax Number	:	703-591-7210

Provider Business Practice Location Address
First Line	:	1495 CHAIN BRIDGE RD
Second Line	:	202
City	:	MC LEAN
State	:	VA
Zip	:	22101-5727
Country	:	US
Telephone Number	:	703-591-5912
Fax Number	:	703-591-7210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	10/21/2016

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