Healthcare Provider Details

I. General information

NPI: 1427811413
Provider Name (Legal Business Name): ROBYN GAUTHIER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBYN VANBUSKIRK RN

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 E KENNEDY ST
SPARTANBURG SC
29302-1912
US

IV. Provider business mailing address

279 E KENNEDY ST
SPARTANBURG SC
29302-1912
US

V. Phone/Fax

Practice location:
  • Phone: 864-583-0053
  • Fax: 864-583-0390
Mailing address:
  • Phone: 864-583-0053
  • Fax: 864-583-0390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704315452
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: