Healthcare Provider Details

I. General information

NPI: 1588527980
Provider Name (Legal Business Name): ADRIANE MICHELLE ROBBINS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 N 135TH DR
GOODYEAR AZ
85395-3112
US

IV. Provider business mailing address

50 BENFIELD DR
WHITELAND IN
46184-0108
US

V. Phone/Fax

Practice location:
  • Phone: 602-616-0268
  • Fax:
Mailing address:
  • Phone: 602-616-0268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71017894A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: