Healthcare Provider Details

I. General information

NPI: 1629472972
Provider Name (Legal Business Name): ROBYN NICOLE EATON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBYN NICOLE WALLEN

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 TAMPA GENERAL CIR
TAMPA FL
33606-3603
US

IV. Provider business mailing address

PO BOX 917770
ORLANDO FL
32891-0001
US

V. Phone/Fax

Practice location:
  • Phone: 813-259-8700
  • Fax:
Mailing address:
  • Phone: 813-974-2201
  • Fax: 813-974-2816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number9265791
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberARNP9265791
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: