Provider Demographics
NPI:1194805739
Name:ROBBINS, NANCY M (RD)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:M
Last Name:ROBBINS
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 1:2730 CRYSTAL SPRING AVE SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-2322
Mailing Address - Country:US
Mailing Address - Phone:540-312-7023
Mailing Address - Fax:
Practice Address - Street 1:4800 PLEASANT HILL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3451
Practice Address - Country:US
Practice Address - Phone:540-312-7023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered