MEDICARE: MRS. DEBORAH U. ROBARDS ARNP

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
1	363LF0000X	Family Nurse Practitioner	ARNP1027742	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y9106	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265635528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH U. ROBARDS ARNP

Provider Business Mailing Address
First Line	:	5244 CRYSTAL CREEK DR
Second Line	:
City	:	PACE
State	:	FL
Zip	:	32571-9073
Country	:	US
Telephone Number	:	850-686-5578
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 UNIVERSITY PKWY STE 101A
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32514-5485
Country	:	US
Telephone Number	:	850-208-6130
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	06/04/2013

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