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NPI Code Detail

MEDICARE: DENISE ROBINSON APRN

MEDICARE: DENISE ROBINSON APRN
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 Practitioner3002143KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NP143POTHERKYCHOICE CARE
2000000045384OTHERKYANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508865932
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE ROBINSON APRN
Provider Business Mailing Address
First Line : 1401 MADISON AVE
Second Line :
City : COVINGTON
State : KY
Zip : 41011-3313
Country : US
Telephone Number : 859-655-6100
Fax Number : 859-655-6148
Provider Business Practice Location Address
First Line : 1401 MADISON AVE
Second Line :
City : COVINGTON
State : KY
Zip : 41011-3313
Country : US
Telephone Number : 859-655-6100
Fax Number : 859-655-6148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 10/24/2012

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