Healthcare Provider Details

I. General information

NPI: 1659286573
Provider Name (Legal Business Name): BRIANNE MICHELLE BOYLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WASHINGTON DC VA MEDICAL CENTER 50 IRVING ST NW
WASHINGTON DC
20422-0001
US

IV. Provider business mailing address

4 CRESCENT RD UNIT E
GREENBELT MD
20770-0815
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-8000
  • Fax:
Mailing address:
  • Phone: 515-423-1943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR218756
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: