Provider Demographics
NPI:1265835490
Name:ROBBINS, CIERRA (RD, LDN, CPT)
Entity Type:Individual
Prefix:
First Name:CIERRA
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:RD, LDN, CPT
Other - Prefix:
Other - First Name:CIERRA
Other - Middle Name:
Other - Last Name:NEISWENDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:1909 PRELATE CIR
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-2853
Mailing Address - Country:US
Mailing Address - Phone:717-364-7170
Mailing Address - Fax:
Practice Address - Street 1:1909 PRELATE CIR
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-2853
Practice Address - Country:US
Practice Address - Phone:717-364-7170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA86006687133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered