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NPI Code Detail

MEDICARE: ROBIN M MCDERMOTT NP

MEDICARE: ROBIN M MCDERMOTT NP
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
1363LF0000XFamily Nurse Practitioner0024167768VA
2363L00000XNurse Practitioner0024167768VA

General Provider Information

NPI Number : 1861723801
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN M MCDERMOTT NP
Provider Business Mailing Address
First Line : 15 OAK ST STE 3
Second Line :
City : NEEDHAM
State : MA
Zip : 02492-2470
Country : US
Telephone Number : 888-671-5902
Fax Number : 339-686-3137
Provider Business Practice Location Address
First Line : 8280 WILLOW OAKS CORPORATE DR STE 600
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4516
Country : US
Telephone Number : 888-671-5902
Fax Number : 339-686-3137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2010
Last Update Date : 05/08/2026

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