Provider Demographics
NPI:1508861170
Name:CASPER, ROBBIE (NP)
Entity Type:Individual
Prefix:MS
First Name:ROBBIE
Middle Name:
Last Name:CASPER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 LAKE WRIGHT DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-1866
Mailing Address - Country:US
Mailing Address - Phone:757-466-8683
Mailing Address - Fax:757-213-5701
Practice Address - Street 1:5900 LAKE WRIGHT DR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-1866
Practice Address - Country:US
Practice Address - Phone:757-466-8683
Practice Address - Fax:757-213-5701
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164005363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily