Provider Demographics
NPI:1720598782
Name:VILLINES-ROBINSON, TOSHA DAWN (NP)
Entity Type:Individual
Prefix:
First Name:TOSHA
Middle Name:DAWN
Last Name:VILLINES-ROBINSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:TOSHA
Other - Middle Name:DAWN
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:2222 PINE AVE
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:OK
Mailing Address - Zip Code:73096-2755
Mailing Address - Country:US
Mailing Address - Phone:580-774-7879
Mailing Address - Fax:
Practice Address - Street 1:3731 LEGACY
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-9746
Practice Address - Country:US
Practice Address - Phone:580-772-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK107561363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily