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NPI Code Detail

MEDICARE: BOBBIE ROBB NP

MEDICARE: BOBBIE ROBB NP
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 Practitioner71001393AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000339226OTHERINANTHEM BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3059917POTHERINSIHO
4000000990793OTHERINANTHEM PIN
5P00100732OTHERINPALMETTA GBA RAIROAD MC

General Provider Information

NPI Number : 1619081908
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBIE ROBB NP
Provider Business Mailing Address
First Line : 6584 W STATE ROAD 252
Second Line :
City : EDINBURGH
State : IN
Zip : 46124-9459
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2325 18TH ST
Second Line : SUITE 130
City : COLUMBUS
State : IN
Zip : 47201-5387
Country : US
Telephone Number : 812-379-2020
Fax Number : 812-378-8267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 09/09/2024

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Directions to “ BOBBIE ROBB NP” Practice Location

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