Provider Demographics
NPI:1407082894
Name:FRISBY, ROBYN HOPE
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:HOPE
Last Name:FRISBY
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 1:4401 ORIOLE CT
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-5111
Mailing Address - Country:US
Mailing Address - Phone:307-399-6816
Mailing Address - Fax:
Practice Address - Street 1:6101 YELLOWSTONE RD
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-3445
Practice Address - Country:US
Practice Address - Phone:307-777-7115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-31
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY115890200Medicaid