Provider Demographics
NPI:1932825080
Name:ROBISON, KATRINA E (PHD HOLISTIC HEALTH)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:E
Last Name:ROBISON
Suffix:
Gender:F
Credentials:PHD HOLISTIC HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 FLYING LEAF CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3525
Mailing Address - Country:US
Mailing Address - Phone:616-821-6494
Mailing Address - Fax:
Practice Address - Street 1:114 BRADY CT
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4554
Practice Address - Country:US
Practice Address - Phone:919-371-8383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes132700000XDietary & Nutritional Service ProvidersDietary Manager