Doctor Name: | MRS. TERESA RENEA ROBINSON |
NPI Number: | 1740233402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | 3567P |
Business Practice Address: | 306 Hospital Drive Ste 202c South Williamson, KY - 41503 |
Business Phone Number: | 6062375800 |
Business Fax Number: | 6062375858 |
Mailing Address: | 306 Hospital Drive, Ste 202c SOUTH WILLIAMSON |
State: | KY |
Postal Code: | 41503 |
Phone Number: | 6062375800 |
Fax Number: | 6062375858 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 01/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3567P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |