Provider Demographics
NPI:1174653810
Name:ADKINS, ROBYN TAYLOR (CFNP)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:TAYLOR
Last Name:ADKINS
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:ROCHELLE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:HINTON
Mailing Address - State:WV
Mailing Address - Zip Code:25951-0266
Mailing Address - Country:US
Mailing Address - Phone:304-466-2536
Mailing Address - Fax:304-466-4568
Practice Address - Street 1:1701 TEMPLE ST
Practice Address - Street 2:
Practice Address - City:HINTON
Practice Address - State:WV
Practice Address - Zip Code:25951-2038
Practice Address - Country:US
Practice Address - Phone:304-466-2536
Practice Address - Fax:304-466-4568
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV59020363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810014500Medicaid
WV1712OtherRXA PRESCRIPTIVE AUTHORIT
WVMA1520407OtherDEA CONTROLLED SUBSTANCE