Provider Demographics
NPI:1073369401
Name:BIGHAM, ROBBIN YOULANDA
Entity type:Individual
Prefix:
First Name:ROBBIN
Middle Name:YOULANDA
Last Name:BIGHAM
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 1:2320 40TH ST NW APT 4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-1751
Mailing Address - Country:US
Mailing Address - Phone:202-531-4589
Mailing Address - Fax:
Practice Address - Street 1:4515 41 ST. SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-9996
Practice Address - Country:US
Practice Address - Phone:202-365-4640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant