Healthcare Provider Details

I. General information

NPI: 1154655835
Provider Name (Legal Business Name): NENETTE ROBINSON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NENETTE ROBINSON MCNAMARA

II. Dates (important events)

Enumeration Date: 09/28/2009
Last Update Date: 01/29/2025
Certification Date: 05/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 WEEMINUCHE AVE
IGNACIO CO
81137
US

IV. Provider business mailing address

PO BOX 899
IGNACIO CO
81137-0899
US

V. Phone/Fax

Practice location:
  • Phone: 970-563-4581
  • Fax: 970-563-0206
Mailing address:
  • Phone: 970-563-4581
  • Fax: 970-563-0206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0010138-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number163541
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: