Healthcare Provider Details

I. General information

NPI: 1225242175
Provider Name (Legal Business Name): MARLA JEAN ROBBINS CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 OFFLITER RD
STUARTS DRAFT VA
24477
US

IV. Provider business mailing address

181 OFFLITER RD
STUARTS DRAFT VA
24477
US

V. Phone/Fax

Practice location:
  • Phone: 540-337-2071
  • Fax: 540-337-2071
Mailing address:
  • Phone: 540-337-2071
  • Fax: 540-337-2071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number0129000009
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: