Provider Demographics
NPI:1093006231
Name:UNRATH, ROBYN ELAINE (MS, RD)
Entity Type:Individual
Prefix:MISS
First Name:ROBYN
Middle Name:ELAINE
Last Name:UNRATH
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 MANCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2742
Mailing Address - Country:US
Mailing Address - Phone:201-805-5331
Mailing Address - Fax:
Practice Address - Street 1:159 MANCHESTER AVE
Practice Address - Street 2:
Practice Address - City:NORTH HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-2742
Practice Address - Country:US
Practice Address - Phone:201-805-5331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1013791133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered