Provider Demographics
NPI:1043097827
Name:O'NEILL, ROBIN (DNP, CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:DNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6376 SAINT TIMOTHYS LN
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-4827
Mailing Address - Country:US
Mailing Address - Phone:339-223-9228
Mailing Address - Fax:
Practice Address - Street 1:407 N WASHINGTON ST STE 100
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3436
Practice Address - Country:US
Practice Address - Phone:703-359-5100
Practice Address - Fax:703-241-1863
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT28689308208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics