Provider Demographics
NPI:1578556320
Name:HOENIGES, ROBIN L (ARNP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:HOENIGES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:L
Other - Last Name:DEFFENBAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1740 COOKS HILL RD
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-9071
Mailing Address - Country:US
Mailing Address - Phone:360-736-7623
Mailing Address - Fax:360-736-4074
Practice Address - Street 1:1740 COOKS HILL RD
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-9071
Practice Address - Country:US
Practice Address - Phone:360-736-7623
Practice Address - Fax:360-736-4074
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00121408163W00000X
WAAP30005730363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA143264OtherL & I
WA9629759Medicaid
WA9629759Medicaid
WAAB19187Medicare PIN