Provider Demographics
NPI:1437749470
Name:VIEIRA, ROBIN (RDN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:VIEIRA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4295 SKEFFINGTON CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28461-9058
Mailing Address - Country:US
Mailing Address - Phone:914-450-5825
Mailing Address - Fax:
Practice Address - Street 1:4295 SKEFFINGTON CT
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:NC
Practice Address - Zip Code:28461-9058
Practice Address - Country:US
Practice Address - Phone:914-450-5825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-23
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered