Provider Demographics
NPI:1538203187
Name:BROBSTON, REBECCA A (NP)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:A
Last Name:BROBSTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3738 WINTERFIELD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-9236
Mailing Address - Country:US
Mailing Address - Phone:804-378-9378
Mailing Address - Fax:
Practice Address - Street 1:3738 WINTERFIELD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-9236
Practice Address - Country:US
Practice Address - Phone:804-378-9378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024167154363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health