Provider Demographics
NPI:1295129294
Name:SMIRNOV, BRITTANY P (DO)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:P
Last Name:SMIRNOV
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:P
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:6565 ARLINGTON BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3000
Mailing Address - Country:US
Mailing Address - Phone:703-578-1770
Mailing Address - Fax:703-820-7088
Practice Address - Street 1:6565 ARLINGTON BLVD STE 102
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3000
Practice Address - Country:US
Practice Address - Phone:703-578-1770
Practice Address - Fax:703-820-7088
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-27
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS14093207N00000X
FLOS 14093208D00000X
VA0102206515207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty