Provider Demographics
NPI:1598434714
Name:WHITTENBURG, ROBIN ANN (APRN, CNS)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANN
Last Name:WHITTENBURG
Suffix:
Gender:F
Credentials:APRN, CNS
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:ANN
Other - Last Name:SCHARFSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:OHH PHYSICIANS - ATTN: PAYOR CREDENTIALING
Mailing Address - Street 2:7800 NW 85TH TERRACE
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-3385
Mailing Address - Country:US
Mailing Address - Phone:405-972-7239
Mailing Address - Fax:405-753-1863
Practice Address - Street 1:5224 E I 240 SERVICE RD STE 201
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-2607
Practice Address - Country:US
Practice Address - Phone:405-608-3800
Practice Address - Fax:405-628-6495
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK205121364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology