Provider Demographics
NPI:1770670325
Name:ROBBINS, AMBER CHRISTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:CHRISTINE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 N BROOKS ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-3801
Mailing Address - Country:US
Mailing Address - Phone:307-672-8941
Mailing Address - Fax:307-672-7461
Practice Address - Street 1:206 N BROOKS ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-3801
Practice Address - Country:US
Practice Address - Phone:307-672-8941
Practice Address - Fax:307-672-7461
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY7697A207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYW21926Medicare PIN