Provider Demographics
NPI:1063741650
Name:YOUNGER, ROBIN W (CD, PCD)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:W
Last Name:YOUNGER
Suffix:
Gender:F
Credentials:CD, PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4116 AVENIDA LA RESOLANA NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-6161
Mailing Address - Country:US
Mailing Address - Phone:505-268-7778
Mailing Address - Fax:505-268-7811
Practice Address - Street 1:4116 AVENIDA LA RESOLANA NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-6161
Practice Address - Country:US
Practice Address - Phone:505-268-7778
Practice Address - Fax:505-268-7811
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula