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NPI Code Detail

MEDICARE: MR. MICHAEL JOE ROBINSON ANP-C

MEDICARE: MR. MICHAEL JOE ROBINSON ANP-C
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
1363L00000XNurse Practitioner5004719NC
2363LA2200XAdult Health Nurse Practitioner5004719NC
3207T00000XNeurological Surgery Physician5004719NC

General Provider Information

NPI Number : 1255658282
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL JOE ROBINSON ANP-C
Provider Business Mailing Address
First Line : 3100 SPRING FOREST RD
Second Line : STE 130
City : RALEIGH
State : NC
Zip : 27616-2880
Country : US
Telephone Number : 919-882-0774
Fax Number : 919-873-9821
Provider Business Practice Location Address
First Line : 34 OLEANDER DR STE 107
Second Line :
City : CLAYTON
State : NC
Zip : 27527-4599
Country : US
Telephone Number : 919-243-1910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2010
Last Update Date : 04/19/2026

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