Doctor Name: | ROBIN ROUSH WOOD |
NPI Number: | 1194746818 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | RN098102 |
Business Practice Address: | 1633 Marvel St Coushatta, LA - 71019 |
Business Phone Number: | 3189322222 |
Business Fax Number: | 3189322215 |
Mailing Address: | 1633 Marvel St, COUSHATTA |
State: | LA |
Postal Code: | 71019 |
Phone Number: | 3189322222 |
Fax Number: | 3189322215 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 12/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN098102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |