Healthcare Provider Details

I. General information

NPI: 1992156111
Provider Name (Legal Business Name): TIMOTHY W ROBBINS RN, BSN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 09/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 PLEASANT ST
CONCORD NH
03301-4006
US

IV. Provider business mailing address

40 PLEASANT ST
CONCORD NH
03301-4006
US

V. Phone/Fax

Practice location:
  • Phone: 603-226-0817
  • Fax:
Mailing address:
  • Phone: 603-226-0817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number070741-21
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number070741-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: