Provider Demographics
NPI:1942298799
Name:ROBEY, AMANDA MICHELE (RN)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:MICHELE
Last Name:ROBEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:MICHELE
Other - Last Name:CARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:44055 RIVERSIDE PKWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-5179
Mailing Address - Country:US
Mailing Address - Phone:703-724-7530
Mailing Address - Fax:703-858-2870
Practice Address - Street 1:44055 RIVERSIDE PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-5179
Practice Address - Country:US
Practice Address - Phone:703-724-7530
Practice Address - Fax:703-858-2870
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR157007163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse