Provider Demographics
NPI:1740428143
Name:ROBENS, ANGELA JILK (ND)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:JILK
Last Name:ROBENS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1048 STANCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661
Mailing Address - Country:US
Mailing Address - Phone:206-624-6627
Mailing Address - Fax:
Practice Address - Street 1:645 S MAIN ST
Practice Address - Street 2:UNIT #2
Practice Address - City:STOWE
Practice Address - State:VT
Practice Address - Zip Code:05672-4595
Practice Address - Country:US
Practice Address - Phone:802-253-2340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-23
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0990071198175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath