Healthcare Provider Details

I. General information

NPI: 1528688017
Provider Name (Legal Business Name): MAURINE E ROBBINS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAURINE E VANHOUTEN NP

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 SAM WALTON DR STE 600
SPARTA TN
38583-8814
US

IV. Provider business mailing address

103 ALLISON WAY
COOKEVILLE TN
38501-0616
US

V. Phone/Fax

Practice location:
  • Phone: 931-739-4000
  • Fax: 931-739-4001
Mailing address:
  • Phone: 615-723-1626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202203877NP-PP
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0000027231
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: