Healthcare Provider Details

I. General information

NPI: 1598658304
Provider Name (Legal Business Name): CHERYL LYNN ROBBINS MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8921 S MINGO RD
TULSA OK
74133-5841
US

IV. Provider business mailing address

1203 SW 22ND ST
WAGONER OK
74467-8040
US

V. Phone/Fax

Practice location:
  • Phone: 918-252-8000
  • Fax:
Mailing address:
  • Phone: 918-230-0207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0600X
TaxonomyInfection Control Registered Nurse
License NumberR0054005
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License NumberR0054005
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: