Basic Information
| Provider Information | |||||||||
| NPI: | 1942835426 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROBBINS | ||||||||
| FirstName: | ROXANNE | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 64 | ||||||||
| Address2: | |||||||||
| City: | COVINGTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453180064 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9375700615 | ||||||||
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| Practice Location | |||||||||
| Address1: | 31 S STANFIELD RD STE 301 | ||||||||
| Address2: | |||||||||
| City: | TROY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453732334 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373391518 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2020 | ||||||||
| LastUpdateDate: | 03/05/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | APRN.CNP.025953 | OH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.