Healthcare Provider Details

I. General information

NPI: 1083036388
Provider Name (Legal Business Name): ELIZABETH CAROLINE ROBSON CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2014
Last Update Date: 01/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 KING ST
ALEXANDRIA VA
22314-2716
US

IV. Provider business mailing address

537 N LOMBARDY ST
ARLINGTON VA
22203-1026
US

V. Phone/Fax

Practice location:
  • Phone: 703-549-5070
  • Fax:
Mailing address:
  • Phone: 703-731-3979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0024171349
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: