Healthcare Provider Details

I. General information

NPI: 1720291636
Provider Name (Legal Business Name): ROBIN NORMAND CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN NORMAND MSN

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 12/23/2020
Certification Date: 12/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 N BAYOU ST
MOBILE AL
36603-5827
US

IV. Provider business mailing address

251 N BAYOU ST
MOBILE AL
36603-5827
US

V. Phone/Fax

Practice location:
  • Phone: 251-690-8158
  • Fax: 251-544-2188
Mailing address:
  • Phone: 251-690-8158
  • Fax: 251-690-8853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number1-083180
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-083180
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: