Provider Demographics
NPI:1437670916
Name:BIRD, ROBYN (FNP-C)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:BIRD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:
Other - Last Name:SARIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:193 BATH RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2607
Practice Address - Country:US
Practice Address - Phone:207-424-2272
Practice Address - Fax:717-735-9938
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP191263363LF0000X
PASP018243363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MECNP191263OtherSTATE LICENSE