Healthcare Provider Details

I. General information

NPI: 1730365024
Provider Name (Legal Business Name): BRETT ROBBINS MSN RN CS FNP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2008
Last Update Date: 04/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 N MAIN ST SUITE 3
CEDAR CITY UT
84721-9811
US

IV. Provider business mailing address

PO BOX 1539
CEDAR CITY UT
84721-1539
US

V. Phone/Fax

Practice location:
  • Phone: 435-867-1960
  • Fax: 435-867-1962
Mailing address:
  • Phone: 435-867-1960
  • Fax: 435-867-1962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number216003-4405
License Number StateUT

VIII. Authorized Official

Name: BRETT E ROBBINS
Title or Position: OWNER
Credential: CFNP
Phone: 435-867-1960