Provider Demographics
NPI:1598228363
Name:ROBINSON, HANNAH GRACE (BS,MS,RD,LD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:GRACE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:BS,MS,RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 ROSS AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2723
Mailing Address - Country:US
Mailing Address - Phone:360-230-8635
Mailing Address - Fax:
Practice Address - Street 1:511 ROSS AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2723
Practice Address - Country:US
Practice Address - Phone:360-230-8635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10196229133V00000X
WADI61107876133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered