Healthcare Provider Details

I. General information

NPI: 1295683258
Provider Name (Legal Business Name): VICTORIA M ROBINSON BA,CHW CERTIFICATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 3RD AVE SE
GARRISON ND
58540-7235
US

IV. Provider business mailing address

437 3RD AVE SE
GARRISON ND
58540-7235
US

V. Phone/Fax

Practice location:
  • Phone: 701-463-2245
  • Fax: 701-463-6543
Mailing address:
  • Phone: 701-463-2245
  • Fax: 701-463-6543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1952381873
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: