MEDICARE: MRS. APRIL DENHAM ROBBINS CFNP

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	163W00000X	Registered Nurse	R860041	MS
2	363LF0000X	Family Nurse Practitioner	R860041	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	202374443	OTHER	MS	CHAMPUS
2	202374443	OTHER	MS	AETNA
3	202374443	OTHER	MS	CIGNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669464863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. APRIL DENHAM ROBBINS CFNP

Provider Business Mailing Address
First Line	:	15921 BOUNDARY DR
Second Line	:
City	:	ASHLAND
State	:	MS
Zip	:	38603-7740
Country	:	US
Telephone Number	:	662-566-5593
Fax Number	:	662-566-4419

Provider Business Practice Location Address
First Line	:	1561 HWY 30 WEST
Second Line	:
City	:	MYRTLE
State	:	MS
Zip	:	38650
Country	:	US
Telephone Number	:	662-534-0033
Fax Number	:	662-539-0039

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	01/09/2017

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