Provider Demographics
NPI:1669007696
Name:ENGMAN, ROBYN EMILIA (RD)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:EMILIA
Last Name:ENGMAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12004 WATERSIDE VIEW DR APT 21
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20194-1744
Mailing Address - Country:US
Mailing Address - Phone:719-201-7672
Mailing Address - Fax:
Practice Address - Street 1:12004 WATERSIDE VIEW DR APT 21
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20194-1744
Practice Address - Country:US
Practice Address - Phone:719-201-7672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered