Provider Demographics
NPI:1356324651
Name:CAHILL-MYERS, ROBIN RAE (ARNP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:RAE
Last Name:CAHILL-MYERS
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 1:920 2ND AVE S
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-3318
Mailing Address - Country:US
Mailing Address - Phone:612-251-1512
Mailing Address - Fax:
Practice Address - Street 1:920 2ND AVE S STE 400
Practice Address - Street 2:MINUTE CLINIC DIAGNOSITIC OF WA, LLC
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-4010
Practice Address - Country:US
Practice Address - Phone:612-225-1512
Practice Address - Fax:612-659-7101
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30004765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARN00077134OtherRN LICENSE NUMBER
WAAP30004765OtherAP LICENSE NUMBER
WAS69787Medicare UPIN
WA8859921Medicare PIN