Provider Demographics
NPI:1316195779
Name:SAAVEDRA, ROBYN LEIGH (A PRN-BC FNP)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:LEIGH
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:A PRN-BC FNP
Other - Prefix:MS
Other - First Name:ROBYN
Other - Middle Name:LEIGH
Other - Last Name:BADER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-BC-FNP
Mailing Address - Street 1:3600 WOODS WAY
Mailing Address - Street 2:
Mailing Address - City:STATE FARM
Mailing Address - State:VA
Mailing Address - Zip Code:23160-0001
Mailing Address - Country:US
Mailing Address - Phone:804-598-4251
Mailing Address - Fax:804-598-6805
Practice Address - Street 1:3600 WOODS WAY
Practice Address - Street 2:
Practice Address - City:STATE FARM
Practice Address - State:VA
Practice Address - Zip Code:23160-0001
Practice Address - Country:US
Practice Address - Phone:804-598-4251
Practice Address - Fax:804-598-6805
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024167256363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0017138785OtherB.O.N & B.O.M
VA0017138785OtherB.O.N & B.O.M