Provider Demographics
NPI:1174723068
Name:CHOFFEL, ROBYN MARGOT (ARNP)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:MARGOT
Last Name:CHOFFEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 344
Mailing Address - Street 2:
Mailing Address - City:CLEARLAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98235-0344
Mailing Address - Country:US
Mailing Address - Phone:360-333-3901
Mailing Address - Fax:360-899-5916
Practice Address - Street 1:204 W STATE ST
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-1553
Practice Address - Country:US
Practice Address - Phone:360-856-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP39003913363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care