MEDICARE: JOANNE ROBINSON ARNP

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	363L00000X	Nurse Practitioner	112363	IA

General Provider Information

NPI Number	:	1639106214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE ROBINSON ARNP

Provider Business Mailing Address
First Line	:	621 SOUTH ILLINOIS
Second Line	:	SUT 103
City	:	MASON CITY
State	:	IA
Zip	:	50401-0000
Country	:	US
Telephone Number	:	641-494-3041
Fax Number	:	641-494-3059

Provider Business Practice Location Address
First Line	:	1010 S GRAND AVE STE 1
Second Line	:
City	:	CHARLES CITY
State	:	IA
Zip	:	50616-3729
Country	:	US
Telephone Number	:	641-228-5555
Fax Number	:	641-228-5556

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	07/08/2007

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