Provider Demographics
NPI:1912146226
Name:DURR, ROBIN NICOLE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:NICOLE
Last Name:DURR
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1934 OLD GALLOWS RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-4042
Mailing Address - Country:US
Mailing Address - Phone:703-677-3286
Mailing Address - Fax:
Practice Address - Street 1:4211 FAIRFAX CORNER EAST AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-8622
Practice Address - Country:US
Practice Address - Phone:703-677-3286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166221363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily