Provider Demographics
NPI:1083954796
Name:COGBURN, ROBYN NICOLE (FNPC)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:NICOLE
Last Name:COGBURN
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 N PLANT AVE
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-1727
Mailing Address - Country:US
Mailing Address - Phone:830-431-3357
Mailing Address - Fax:
Practice Address - Street 1:118 N PLANT AVE
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-1727
Practice Address - Country:US
Practice Address - Phone:830-431-3357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-18
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX763532363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily