Healthcare Provider Details

I. General information

NPI: 1457983579
Provider Name (Legal Business Name): ROBIN LYNN WOOD MSN, RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN LYNN SHAVER MSN, RN, FNP-C

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7313 S WESTERN AVE
OKLAHOMA CITY OK
73139-2007
US

IV. Provider business mailing address

102 WOODMONT BLVD. STE 600
NASHVILLE TN
37205
US

V. Phone/Fax

Practice location:
  • Phone: 405-251-8884
  • Fax: 405-665-7042
Mailing address:
  • Phone: 615-315-5257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71009716A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR0137652
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: