Healthcare Provider Details

I. General information

NPI: 1952706707
Provider Name (Legal Business Name): ROBIN MARCUS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBIN CLINE FNP

II. Dates (important events)

Enumeration Date: 10/22/2014
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 MONTCLAIR CIRCLE RD
NORTH TAZEWELL VA
24630-7945
US

IV. Provider business mailing address

302 MONTCLAIR CIRCLE RD
NORTH TAZEWELL VA
24630-7945
US

V. Phone/Fax

Practice location:
  • Phone: 276-245-5018
  • Fax: 276-883-6196
Mailing address:
  • Phone: 276-245-5018
  • Fax: 276-883-6196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024171795
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: