Provider Demographics
NPI:1689151474
Name:ROBB-GAMBOA, CHEY (FNP)
Entity Type:Individual
Prefix:
First Name:CHEY
Middle Name:
Last Name:ROBB-GAMBOA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12000 CORTE CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-4183
Mailing Address - Country:US
Mailing Address - Phone:808-728-4643
Mailing Address - Fax:
Practice Address - Street 1:144 PRISON LN
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:VA
Practice Address - Zip Code:22974-3761
Practice Address - Country:US
Practice Address - Phone:434-984-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC322273163W00000X
VA0024186864363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse