Provider Demographics
NPI:1619463221
Name:BEHRENS, ROBERT LEE II (CNP, PMHNP-BC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEE
Last Name:BEHRENS
Suffix:II
Gender:M
Credentials:CNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9384 WAYNE BROWN DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7724
Mailing Address - Country:US
Mailing Address - Phone:614-620-4314
Mailing Address - Fax:614-389-6768
Practice Address - Street 1:9384 WAYNE BROWN DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7724
Practice Address - Country:US
Practice Address - Phone:614-389-6768
Practice Address - Fax:614-389-6768
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH022486363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health