Healthcare Provider Details

I. General information

NPI: 1063335222
Provider Name (Legal Business Name): CIARA ROBBINS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3304 S 40TH ST
SPRINGDALE AR
72762-6786
US

IV. Provider business mailing address

3304 S 40TH ST
SPRINGDALE AR
72762-6786
US

V. Phone/Fax

Practice location:
  • Phone: 479-750-8720
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR083835
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: