1316195779 NPI number — MRS. ROBYN LEIGH SAAVEDRA A PRN-BC FNP

Table of content: MRS. ROBYN LEIGH SAAVEDRA A PRN-BC FNP (NPI 1316195779)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316195779 NPI number — MRS. ROBYN LEIGH SAAVEDRA A PRN-BC FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAAVEDRA
Provider First Name:
ROBYN
Provider Middle Name:
LEIGH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
A PRN-BC FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BADER
Provider Other First Name:
ROBYN
Provider Other Middle Name:
LEIGH
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN-BC-FNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1316195779
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3600 WOODS WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STATE FARM
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23160-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-598-4251
Provider Business Mailing Address Fax Number:
804-598-6805

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3600 WOODS WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STATE FARM
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23160-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-598-4251
Provider Business Practice Location Address Fax Number:
804-598-6805
Provider Enumeration Date:
08/28/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  0024167256 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0017138785 . This is a "B.O.N & B.O.M" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".