Healthcare Provider Details

I. General information

NPI: 1124287289
Provider Name (Legal Business Name): ROBIN ELIZABETH MARKLE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2008
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 ORTEGA RD NE
ALBUQUERQUE NM
87113-1430
US

IV. Provider business mailing address

120 ORTEGA RD NE
ALBUQUERQUE NM
87113-1430
US

V. Phone/Fax

Practice location:
  • Phone: 505-910-1073
  • Fax:
Mailing address:
  • Phone: 505-910-1073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number67585
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: