1285657817 NPI number — MS. LAURA JEAN ROBBINS CNS, PMHNP

Table of content: MS. LAURA JEAN ROBBINS CNS, PMHNP (NPI 1285657817)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285657817 NPI number — MS. LAURA JEAN ROBBINS CNS, PMHNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBBINS
Provider First Name:
LAURA
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CNS, PMHNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285657817
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6141 MOUNTAIN SPRINGS LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLIFTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20124-2340
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-988-0139
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14150 PARKEAST CIR
Provider Second Line Business Practice Location Address:
#200
Provider Business Practice Location Address City Name:
CHANTILLY
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20151-2295
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-968-4000
Provider Business Practice Location Address Fax Number:
703-263-1724
Provider Enumeration Date:
07/25/2006

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: 363LP0808X , with the licence number:  0024166728 , 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)





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