Provider Demographics
NPI:1225242175
Name:ROBBINS, MARLA JEAN (CPM)
Entity Type:Individual
Prefix:MRS
First Name:MARLA
Middle Name:JEAN
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 OFFLITER RD
Mailing Address - Street 2:
Mailing Address - City:STUARTS DRAFT
Mailing Address - State:VA
Mailing Address - Zip Code:24477
Mailing Address - Country:US
Mailing Address - Phone:540-337-2071
Mailing Address - Fax:540-337-2071
Practice Address - Street 1:181 OFFLITER RD
Practice Address - Street 2:
Practice Address - City:STUARTS DRAFT
Practice Address - State:VA
Practice Address - Zip Code:24477
Practice Address - Country:US
Practice Address - Phone:540-337-2071
Practice Address - Fax:540-337-2071
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0129000009175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay