MEDICARE: CHRISTINE LEE ROBINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	265903	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	265903	OTHER	AZ	RNLICENSE

General Provider Information

NPI Number	:	1184576126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE LEE ROBINS

Provider Business Mailing Address
First Line	:	4379 GEMSTONE AVE
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86401-7491
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4379 GEMSTONE AVE
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86401-7491
Country	:	US
Telephone Number	:	541-415-1392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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