Provider Demographics
NPI:1942835426
Name:ROBBINS, ROXANNE K (CNP)
Entity Type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:K
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45318-0064
Mailing Address - Country:US
Mailing Address - Phone:937-570-0615
Mailing Address - Fax:
Practice Address - Street 1:31 S STANFIELD RD STE 301
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-2334
Practice Address - Country:US
Practice Address - Phone:937-339-1518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025953207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine