Provider Demographics
NPI:1225421068
Name:ROBBINS, SERENA ELVA (APRN, CNM, WHCNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SERENA
Middle Name:ELVA
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:APRN, CNM, WHCNP-BC
Other - Prefix:MISS
Other - First Name:SERENA
Other - Middle Name:ELVA
Other - Last Name:SAGRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, CNM, WHCNP-BC
Mailing Address - Street 1:1150 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214
Mailing Address - Country:US
Mailing Address - Phone:316-866-2078
Mailing Address - Fax:316-252-8784
Practice Address - Street 1:1400 SW HUNTOON
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604
Practice Address - Country:US
Practice Address - Phone:316-866-2000
Practice Address - Fax:316-866-2084
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS78318363L00000X
TX865763363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner