Provider Demographics
NPI:1568475861
Name:ROBINS, SHEILA MARIE (FNP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MARIE
Last Name:ROBINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 SOUTH OHIO STREET
Mailing Address - Street 2:
Mailing Address - City:HUMANSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65674
Mailing Address - Country:US
Mailing Address - Phone:417-754-2223
Mailing Address - Fax:417-754-8046
Practice Address - Street 1:104 SOUTH OHIO STREET
Practice Address - Street 2:
Practice Address - City:HUMANSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65674
Practice Address - Country:US
Practice Address - Phone:417-754-2223
Practice Address - Fax:417-754-8046
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003003715363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP97532Medicare UPIN