Provider Demographics
NPI:1588109029
Name:FELL, ROBYN L
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:L
Last Name:FELL
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 1:707 MIAMISBURG CENTERVILLE RD # 111
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-6522
Mailing Address - Country:US
Mailing Address - Phone:937-475-9253
Mailing Address - Fax:
Practice Address - Street 1:707 MIAMISBURG CENTERVILLE RD # 111
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-6522
Practice Address - Country:US
Practice Address - Phone:937-475-9253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.255883163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse