Healthcare Provider Details

I. General information

NPI: 1568969285
Provider Name (Legal Business Name): ROBIN S HYNEK ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2018
Last Update Date: 04/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

788 8TH AVE SE STE 200
CEDAR RAPIDS IA
52401-2106
US

IV. Provider business mailing address

2555 GREY WOLF
HIAWATHA IA
52233-7950
US

V. Phone/Fax

Practice location:
  • Phone: 319-221-8788
  • Fax:
Mailing address:
  • Phone: 319-533-4329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberH091459
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: