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NPI Code Detail

MEDICARE: ASHLEY ROBINETTE

MEDICARE: ASHLEY ROBINETTE
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
1163W00000XRegistered NurseR090078AR

General Provider Information

NPI Number : 1255797866
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ROBINETTE
Provider Business Mailing Address
First Line : 6263 HIGHWAY 49 S
Second Line :
City : PARAGOULD
State : AR
Zip : 72450-6093
Country : US
Telephone Number : 870-240-0444
Fax Number :
Provider Business Practice Location Address
First Line : 6263 HIGHWAY 49 S
Second Line :
City : PARAGOULD
State : AR
Zip : 72450-6093
Country : US
Telephone Number : 870-240-0444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2016
Last Update Date : 01/12/2016

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Directions to “ ASHLEY ROBINETTE ” Practice Location

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