| Doctor Name: | MRS. MARLENE ROSE ROBINSON |
| NPI Number: | 1477748440 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | CNP-01707 |
| Business Practice Address: | 1302 E Main St Tucumcari, NM - 884012508 |
| Business Phone Number: | 5754612200 |
| Business Fax Number: | 5754612213 |
| Mailing Address: | 1302 E Main St, TUCUMCARI |
| State: | NM |
| Postal Code: | 884012508 |
| Phone Number: | 5754612200 |
| Fax Number: | 5754612213 |
| NPI Enumeration Date: | 09/12/2007 |
| NPI Last Update Date: | 12/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CNP-01707 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |