Provider Demographics
NPI:1497034243
Name:JARVIS, ROBYN L (LPTA)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:L
Last Name:JARVIS
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4257 BORATKO ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-2311
Mailing Address - Country:US
Mailing Address - Phone:702-643-7894
Mailing Address - Fax:702-643-7894
Practice Address - Street 1:4257 BORATKO ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-2311
Practice Address - Country:US
Practice Address - Phone:702-643-7894
Practice Address - Fax:702-643-7894
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-0344246Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information