| Doctor Name: | MS. SHELLY RAE ROBBINS |
| NPI Number: | 1053710053 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-CNP |
| License Number: | R0058066 |
| Business Practice Address: | 106 N Powell Wynnewood, OK - 73098 |
| Business Phone Number: | 4056651010 |
| Business Fax Number: | 4056651001 |
| Mailing Address: | 301 E Seminole St Apt 2, WYNNEWOOD |
| State: | OK |
| Postal Code: | 730985629 |
| Phone Number: | 4052071116 |
| Fax Number: | 4056651001 |
| NPI Enumeration Date: | 08/15/2014 |
| NPI Last Update Date: | 08/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R0058066 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |