Provider Demographics
NPI:1164768230
Name:MOTLEY, ROBIN (FNP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:MOTLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 COUNTY PARK RD
Mailing Address - Street 2:
Mailing Address - City:YANCEYVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27379-9376
Mailing Address - Country:US
Mailing Address - Phone:336-694-9592
Mailing Address - Fax:
Practice Address - Street 1:189 COUNTY PARK RD
Practice Address - Street 2:
Practice Address - City:YANCEYVILLE
Practice Address - State:NC
Practice Address - Zip Code:27379-9376
Practice Address - Country:US
Practice Address - Phone:336-694-9592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC158003363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily