Provider Demographics
NPI:1508206863
Name:TABA, ROBYN L (DNP, MBA, APRN, FNPC)
Entity Type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:L
Last Name:TABA
Suffix:
Gender:F
Credentials:DNP, MBA, APRN, FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2470 S KING ST
Mailing Address - Street 2:CLINIC #9954
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-5808
Mailing Address - Country:US
Mailing Address - Phone:808-947-2651
Mailing Address - Fax:
Practice Address - Street 1:2470 S. KING ST.
Practice Address - Street 2:CLINIC #9954
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5808
Practice Address - Country:US
Practice Address - Phone:808-947-2651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3081363LF0000X
HI85540163W00000X
HI282255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer