MEDICARE: MR. MICHAEL SCOTT ROBINSON FNP

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	6594212-4405	UT

General Provider Information

NPI Number	:	1437585155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL SCOTT ROBINSON FNP

Provider Business Mailing Address
First Line	:	732 N MAIN ST
Second Line	:
City	:	SPRINGVILLE
State	:	UT
Zip	:	84663-1034
Country	:	US
Telephone Number	:	801-704-7001
Fax Number	:	801-210-7012

Provider Business Practice Location Address
First Line	:	1355 N UNIVERSITY AVE STE 130
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-2721
Country	:	US
Telephone Number	:	801-704-7001
Fax Number	:	801-210-7012

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

Provider Enumeration Date	:	09/26/2013
Last Update Date	:	04/14/2026

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