Provider Demographics
NPI:1265635528
Name:ROBARDS, DEBORAH U (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:U
Last Name:ROBARDS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5244 CRYSTAL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-9073
Mailing Address - Country:US
Mailing Address - Phone:850-686-5578
Mailing Address - Fax:
Practice Address - Street 1:9400 UNIVERSITY PKWY STE 101A
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-5485
Practice Address - Country:US
Practice Address - Phone:850-208-6130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1027742363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY9106OtherBLUE CROSS BLUE SHIELD
FL302978600Medicaid
FLY9106OtherBLUE CROSS BLUE SHIELD