Healthcare Provider Details

I. General information

NPI: 1073770863
Provider Name (Legal Business Name): ROBBIN YOTHERS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 05/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 VILLAGE DR SUITE B
GREENSBURG PA
15601-3776
US

IV. Provider business mailing address

11279 PERRY HWY SUITE 450
WEXFORD PA
15090-9381
US

V. Phone/Fax

Practice location:
  • Phone: 724-832-0850
  • Fax: 724-832-1623
Mailing address:
  • Phone: 724-933-1100
  • Fax: 724-933-1160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP0015171D
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: