Healthcare Provider Details

I. General information

NPI: 1639283963
Provider Name (Legal Business Name): TORI L ROBINSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 04/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1573 KY HIGHWAY 259 N
BROWNSVILLE KY
42210-9206
US

IV. Provider business mailing address

PO BOX 90039
BOWLING GREEN KY
42102-9039
US

V. Phone/Fax

Practice location:
  • Phone: 270-796-8000
  • Fax: 270-796-9328
Mailing address:
  • Phone: 270-796-8800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4068P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: