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NPI Code Detail

MEDICARE: LAURA ROBEY FNP

MEDICARE: LAURA ROBEY 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
1363LF0000XFamily Nurse PractitionerNP10486CA
2363LF0000XFamily Nurse Practitioner093000348N1OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NPI10486OTHERCAFNP LICENSE

General Provider Information

NPI Number : 1487717674
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ROBEY FNP
Provider Business Mailing Address
First Line : 8385 DIVISION RD
Second Line :
City : WHITE CITY
State : OR
Zip : 97503-1176
Country : US
Telephone Number : 541-826-5853
Fax Number : 541-826-5843
Provider Business Practice Location Address
First Line : 8385 DIVISION RD
Second Line :
City : WHITE CITY
State : OR
Zip : 97503-1176
Country : US
Telephone Number : 541-826-5853
Fax Number : 541-826-5843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 10/14/2015

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Directions to “ LAURA ROBEY FNP” Practice Location

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