Doctor Name: | MS. ROBIN KATHLEEN WOODMANSEE-WEWE |
NPI Number: | 1225441025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AGPCNP-BC |
License Number: | AP125704 |
Business Practice Address: | 2542 W Fm 884 Yorktown, TX - 781645164 |
Business Phone Number: | 3614911882 |
Business Fax Number: | |
Mailing Address: | Po Box 790, YORKTOWN |
State: | TX |
Postal Code: | 781640790 |
Phone Number: | 3614911882 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2014 |
NPI Last Update Date: | 06/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | AP125704 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |