Healthcare Provider Details

I. General information

NPI: 1992383582
Provider Name (Legal Business Name): ROBIN L GATTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14110 NE 21ST ST UNIT 1112
BELLEVUE WA
98007-3719
US

IV. Provider business mailing address

4861 BADGER RD
WEST PALM BEACH FL
33417
US

V. Phone/Fax

Practice location:
  • Phone: 561-247-2244
  • Fax:
Mailing address:
  • Phone: 561-310-4244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberNU61256239
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: