Healthcare Provider Details

I. General information

NPI: 1801715339
Provider Name (Legal Business Name): SANDRA OBY ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 BLUEBONNET BLVD STE B
BATON ROUGE LA
70809-9643
US

IV. Provider business mailing address

PO BOX 1093
PRAIRIEVILLE LA
70769-1093
US

V. Phone/Fax

Practice location:
  • Phone: 225-214-0010
  • Fax: 225-490-4237
Mailing address:
  • Phone: 225-907-8165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number247967
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: