Provider Demographics
NPI:1508313297
Name:COMBS, ROBERT JUSTIN (APRN)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JUSTIN
Last Name:COMBS
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:MLC 11024
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-803-0375
Mailing Address - Fax:513-803-1124
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:MLC 11024
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-803-0375
Practice Address - Fax:513-803-1124
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.019863363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily