Provider Demographics
NPI:1588979603
Name:ROBVAIS, VERONICA (NP)
Entity type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:
Last Name:ROBVAIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3844 CONVENTION ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3803
Mailing Address - Country:US
Mailing Address - Phone:225-289-6803
Mailing Address - Fax:225-289-6483
Practice Address - Street 1:3844 CONVENTION ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3803
Practice Address - Country:US
Practice Address - Phone:225-289-6803
Practice Address - Fax:225-289-6483
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LATAP002421363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner