Provider Demographics
NPI:1679093876
Name:ATWOOD, ROBIN LEANN (APRN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LEANN
Last Name:ATWOOD
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 HUSTONVILLE ST
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:KY
Mailing Address - Zip Code:42539-3456
Mailing Address - Country:US
Mailing Address - Phone:606-706-7473
Mailing Address - Fax:859-236-0066
Practice Address - Street 1:84 HUSTONVILLE ST
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:KY
Practice Address - Zip Code:42539-3456
Practice Address - Country:US
Practice Address - Phone:606-706-7473
Practice Address - Fax:859-236-0066
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011401363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner