Provider Demographics
NPI:1376848325
Name:STOWE NATURAL FAMILY WELLNESS, PLLC
Entity Type:Organization
Organization Name:STOWE NATURAL FAMILY WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROBENS
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:802-253-2340
Mailing Address - Street 1:1048 STANCLIFFE RD
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-8189
Mailing Address - Country:US
Mailing Address - Phone:206-369-9498
Mailing Address - Fax:
Practice Address - Street 1:645 S MAIN ST
Practice Address - Street 2:UNIT #2
Practice Address - City:STOWE
Practice Address - State:VT
Practice Address - Zip Code:05672-4595
Practice Address - Country:US
Practice Address - Phone:802-253-2340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0990071198175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty