Provider Demographics
NPI:1215144092
Name:ROBIE, TRISH DIANE
Entity type:Individual
Prefix:MRS
First Name:TRISH
Middle Name:DIANE
Last Name:ROBIE
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 1:30695 STEWART HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:45760-9765
Mailing Address - Country:US
Mailing Address - Phone:740-992-5968
Mailing Address - Fax:
Practice Address - Street 1:916 GENERAL HARTINGER PKWY
Practice Address - Street 2:
Practice Address - City:MIDDLEPORT
Practice Address - State:OH
Practice Address - Zip Code:45760-1259
Practice Address - Country:US
Practice Address - Phone:740-992-5758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide