Provider Demographics
NPI:1093420572
Name:BOHANON, ROBIN LAMB (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LAMB
Last Name:BOHANON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PINE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NC
Mailing Address - Zip Code:27850-8502
Mailing Address - Country:US
Mailing Address - Phone:252-673-2776
Mailing Address - Fax:
Practice Address - Street 1:200 PINE DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NC
Practice Address - Zip Code:27850-8502
Practice Address - Country:US
Practice Address - Phone:252-673-2776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF01230347363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily