Provider Demographics
NPI:1861022147
Name:POWELL, ROBIN LAVERNE
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LAVERNE
Last Name:POWELL
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 1:8433 WINDING TRL
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-1435
Mailing Address - Country:US
Mailing Address - Phone:240-593-5640
Mailing Address - Fax:
Practice Address - Street 1:3700 9TH ST SE APT 813
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4016
Practice Address - Country:US
Practice Address - Phone:844-381-4432
Practice Address - Fax:877-763-2165
Is Sole Proprietor?:No
Enumeration Date:2020-01-25
Last Update Date:2020-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant