Provider Demographics
NPI:1699420307
Name:BRESLIN, ERIN (RDN, LDN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:BRESLIN
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44075 PIPELINE PLZ STE 300
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5889
Mailing Address - Country:US
Mailing Address - Phone:703-651-0020
Mailing Address - Fax:703-651-0020
Practice Address - Street 1:44075 PIPELINE PLZ STE 300
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5889
Practice Address - Country:US
Practice Address - Phone:703-651-0020
Practice Address - Fax:703-651-0020
Is Sole Proprietor?:No
Enumeration Date:2022-02-21
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX5039133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered