Doctor Name: | MRS. JEAN MARIE ROBIDOUX |
NPI Number: | 1295721306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | RN113836 |
Business Practice Address: | 101 Cole Avenue Bisbee, AZ - 85603 |
Business Phone Number: | 5204326481 |
Business Fax Number: | 5204325082 |
Mailing Address: | 101 Cole Avenue, BISBEE |
State: | AZ |
Postal Code: | 85603 |
Phone Number: | 5204326481 |
Fax Number: | 5204325082 |
NPI Enumeration Date: | 09/23/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | RN113836 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |