Provider Demographics
NPI:1639134059
Name:RYE, ROBIN J (RN, DNP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:J
Last Name:RYE
Suffix:
Gender:F
Credentials:RN, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-3708
Mailing Address - Country:US
Mailing Address - Phone:910-642-3356
Mailing Address - Fax:910-642-5433
Practice Address - Street 1:626 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3708
Practice Address - Country:US
Practice Address - Phone:910-642-3356
Practice Address - Fax:910-642-5433
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP 12733363L00000X, 363LW0102X
NC5005672363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7006355Medicaid
SCNP2121Medicaid
NCNC9164AMedicare PIN