Provider Demographics
NPI:1619628872
Name:ROBBINS, MELISSA
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:ROBBINS
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 1:643 BROOKS LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:VA
Mailing Address - Zip Code:24375-3187
Mailing Address - Country:US
Mailing Address - Phone:276-780-2393
Mailing Address - Fax:
Practice Address - Street 1:643 BROOKS LN
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:VA
Practice Address - Zip Code:24375-3187
Practice Address - Country:US
Practice Address - Phone:276-780-2393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator