MEDICARE: TORI L 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
1	363LF0000X	Family Nurse Practitioner	4068P	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000355907	OTHER		ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639283963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TORI L ROBINSON APRN

Provider Business Mailing Address
First Line	:	PO BOX 90039
Second Line	:
City	:	BOWLING GREEN
State	:	KY
Zip	:	42102-9039
Country	:	US
Telephone Number	:	270-796-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1573 KY HIGHWAY 259 N
Second Line	:
City	:	BROWNSVILLE
State	:	KY
Zip	:	42210-9206
Country	:	US
Telephone Number	:	270-796-8000
Fax Number	:	270-796-9328

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	04/02/2014

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Directions to “ TORI L ROBINSON APRN” Practice Location

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