Healthcare Provider Details

I. General information

NPI: 1740428143
Provider Name (Legal Business Name): ANGELA JILK ROBENS ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 MAIN ST
HYDE PARK VT
05655-9070
US

IV. Provider business mailing address

452 LEVESQUE DR
HYDE PARK VT
05655-9052
US

V. Phone/Fax

Practice location:
  • Phone: 802-610-2181
  • Fax: 844-689-2490
Mailing address:
  • Phone: 802-793-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number0990071198
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: