Healthcare Provider Details

I. General information

NPI: 1467335190
Provider Name (Legal Business Name): DENNISE ROBINSON DNP, ARNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16515 MERIDIAN E
PUYALLUP WA
98375-6251
US

IV. Provider business mailing address

1922 198TH ST E
SPANAWAY WA
98387-4146
US

V. Phone/Fax

Practice location:
  • Phone: 253-792-6650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number70033519
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: