Provider Demographics
NPI:1144830803
Name:SCRIBNER, ROBERT EUGENE III (MSN, NP-C)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:EUGENE
Last Name:SCRIBNER
Suffix:III
Gender:M
Credentials:MSN, NP-C
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:13913 TOEPFER RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48089-5842
Mailing Address - Country:US
Mailing Address - Phone:616-485-8022
Mailing Address - Fax:313-745-4273
Practice Address - Street 1:27209 LAHSER RD STE 120
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-8402
Practice Address - Country:US
Practice Address - Phone:248-996-8730
Practice Address - Fax:248-996-8926
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704298931363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology