Robyn Axtell
Individual provider Active NPI Social Worker · Provo, UT
NPI 1093007486 · NPPES record last updated May 4, 2011
Key facts
- NPI
- 1093007486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 750 N 200 W Ste 300
Provo, UT 84601-1690 - Phone
- (801) 373-4760
- NPI assigned
- May 4, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | UT | Yes |
Addresses
Primary practice location
750 N 200 W Ste 300
Provo, UT 84601-1690
Mailing address
750 North 200 West, Suite 300
Provo, UT 84601
Phone (801) 373-4760
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.