Provider Demographics
NPI:1285389726
Name:ROBLIN, NICOLE (MS, RDN, LD)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:ROBLIN
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12906 MARGIT DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-7348
Mailing Address - Country:US
Mailing Address - Phone:469-658-9401
Mailing Address - Fax:
Practice Address - Street 1:12906 MARGIT DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-7348
Practice Address - Country:US
Practice Address - Phone:469-658-9401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86083150133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered