Healthcare Provider Details

I. General information

NPI: 1376221192
Provider Name (Legal Business Name): BRITTANY NICOLE ROBINSON CPSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 ROSE AVE # B
FLORENCE KY
41042-2109
US

IV. Provider business mailing address

21 ROSE AVE # B
FLORENCE KY
41042-2109
US

V. Phone/Fax

Practice location:
  • Phone: 859-938-9102
  • Fax:
Mailing address:
  • Phone: 859-938-9102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: