Provider Demographics
NPI:1649014911
Name:KRAATZ, ROBYN HALEIGH
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:HALEIGH
Last Name:KRAATZ
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 1:623 RADFORD TER NE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2463
Mailing Address - Country:US
Mailing Address - Phone:571-271-6565
Mailing Address - Fax:
Practice Address - Street 1:623 RADFORD TER NE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-2463
Practice Address - Country:US
Practice Address - Phone:571-271-6565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant