Provider Demographics
NPI:1235720145
Name:PHILLIPS, ROBYN YVETTE
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:YVETTE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:479 TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-3548
Mailing Address - Country:US
Mailing Address - Phone:234-718-1062
Mailing Address - Fax:
Practice Address - Street 1:479 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-3548
Practice Address - Country:US
Practice Address - Phone:234-718-1062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide