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NPI Code Detail

MEDICARE: TYRONE ROBINSON FNP-BC

MEDICARE:   TYRONE  ROBINSON  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN002059NV

General Provider Information

NPI Number : 1093317356
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYRONE ROBINSON FNP-BC
Provider Business Mailing Address
First Line : 18 HUNT VALLEY TRL
Second Line :
City : HENDERSON
State : NV
Zip : 89052-6674
Country : US
Telephone Number : 702-896-1527
Fax Number :
Provider Business Practice Location Address
First Line : 2842 E LAKE MEAD BLVD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-6548
Country : US
Telephone Number : 702-994-7267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2020
Last Update Date : 11/11/2020

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Directions to “ TYRONE ROBINSON FNP-BC” Practice Location

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