MEDICARE: MELISSA ROBBINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194451237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELISSA ROBBINS

Provider Business Mailing Address
First Line	:	643 BROOKS LN
Second Line	:
City	:	SUGAR GROVE
State	:	VA
Zip	:	24375-3187
Country	:	US
Telephone Number	:	276-780-2393
Fax Number	:	877-840-5216

Provider Business Practice Location Address
First Line	:	643 BROOKS LN
Second Line	:
City	:	SUGAR GROVE
State	:	VA
Zip	:	24375-3187
Country	:	US
Telephone Number	:	276-780-2393
Fax Number	:	877-840-5216

Authorized Official
Title or Position	:	OWNER/SERVICE FACILITATOR
Name	:	MELISSA ROBBINS
Credential	:
Telephone Number	:	276-780-2393

Provider Enumeration Date	:	07/30/2022
Last Update Date	:	07/30/2022

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