Provider Demographics
NPI:1275925679
Name:ROBISON, MARIA LUISA (LPN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:LUISA
Last Name:ROBISON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:LUISA
Other - Last Name:ZAVALETA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1850 CAMERON GLEN DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3363
Mailing Address - Country:US
Mailing Address - Phone:703-481-4097
Mailing Address - Fax:703-707-6230
Practice Address - Street 1:1850 CAMERON GLEN DR
Practice Address - Street 2:SUITE 600
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3363
Practice Address - Country:US
Practice Address - Phone:703-481-4097
Practice Address - Fax:703-707-6230
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002071144164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse