Provider Demographics
NPI:1164630729
Name:BIBBINS, ROBIN ALLEN (RN)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:ALLEN
Last Name:BIBBINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7407A SAINT BERNARD HWY
Mailing Address - Street 2:
Mailing Address - City:ARABI
Mailing Address - State:LA
Mailing Address - Zip Code:70032-1832
Mailing Address - Country:US
Mailing Address - Phone:504-278-7401
Mailing Address - Fax:504-278-7475
Practice Address - Street 1:7407A SAINT BERNARD HWY
Practice Address - Street 2:
Practice Address - City:ARABI
Practice Address - State:LA
Practice Address - Zip Code:70032-1832
Practice Address - Country:US
Practice Address - Phone:504-278-7401
Practice Address - Fax:504-278-7475
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA56294251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health