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NPI Code Detail

MEDICARE: BETTY ROBBINS CRNA

MEDICARE: BETTY ROBBINS CRNA
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
1367500000XCertified Registered Nurse AnesthetistCRNA235AR

General Provider Information

NPI Number : 1679520159
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY ROBBINS CRNA
Provider Business Mailing Address
First Line : PO BOX 144
Second Line :
City : SEARCY
State : AR
Zip : 72145-0144
Country : US
Telephone Number : 501-279-2426
Fax Number : 501-279-2501
Provider Business Practice Location Address
First Line : 3214 E RACE AVE
Second Line :
City : SEARCY
State : AR
Zip : 72143-4810
Country : US
Telephone Number : 501-268-6121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 07/08/2007

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