Provider Demographics
NPI:1508461963
Name:MAPLE-VILVENS, ROBYN LYNNE
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:LYNNE
Last Name:MAPLE-VILVENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 BEECHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45177-9732
Mailing Address - Country:US
Mailing Address - Phone:937-481-1203
Mailing Address - Fax:
Practice Address - Street 1:286 BEECHWOOD RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:OH
Practice Address - Zip Code:45177-9732
Practice Address - Country:US
Practice Address - Phone:937-481-1203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRS385159347C00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No347C00000XTransportation ServicesPrivate Vehicle