Provider Demographics
NPI:1376966648
Name:ALLEC, ROBIN (CPM, LM)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:ALLEC
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22990 HUCKLEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:ID
Mailing Address - Zip Code:83644-6185
Mailing Address - Country:US
Mailing Address - Phone:760-953-0060
Mailing Address - Fax:760-513-9986
Practice Address - Street 1:22990 HUCKLEBERRY LN
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:ID
Practice Address - Zip Code:83644-6185
Practice Address - Country:US
Practice Address - Phone:760-953-0060
Practice Address - Fax:760-513-9986
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-22
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDMID136176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife