Prosser, Robyn L

Prosser, Robyn L is an individual health care provider with primary practice located at 1300 N 12Th St Suite 610, Phoenix AZ 85006-2848. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Prosser, Robyn L can be contacted via phone (602) 239-5000.

Contact Information

Primary practice address
1300 N 12Th St Suite 610 Phoenix AZ 85006-2848
Fax: (602) 239-3339
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 861901 Arizona

Profile Details

NPI number 1669441408
LBN Legal business name Prosser, Robyn L
Credentials R.D., C.D.E.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Aug 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669441408 NPPES
Arizona MEDICAID 719338

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