Provider Demographics
NPI:1144704743
Name:ROCHE-PAULL, ROBYN (FNP-BC, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:ROCHE-PAULL
Suffix:
Gender:F
Credentials:FNP-BC, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 NW PARR DR
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-3687
Mailing Address - Country:US
Mailing Address - Phone:253-904-7734
Mailing Address - Fax:
Practice Address - Street 1:352 NW PARR DR
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-3687
Practice Address - Country:US
Practice Address - Phone:253-968-2774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60690917163W00000X
VAL-23247163WL0100X
WAAP61493894363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARN60690917OtherWASHINGTON BOARD OF HEALTH
WAAP61493894OtherWASHINGTON STATE DEPARTMENT OF HEALTH