Provider Demographics
NPI:1437565629
Name:ROBINSON, DEVEN DUUS (PMHNP)
Entity Type:Individual
Prefix:
First Name:DEVEN
Middle Name:DUUS
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 2ND ST E STE 304
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-2410
Mailing Address - Country:US
Mailing Address - Phone:406-732-6499
Mailing Address - Fax:406-296-7597
Practice Address - Street 1:100 2ND ST E STE 304
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-2410
Practice Address - Country:US
Practice Address - Phone:406-732-6499
Practice Address - Fax:406-229-6759
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-08
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT39799363LF0000X
MT100846363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily