Provider Demographics
NPI:1811033442
Name:ROBOHM, AMY MARGARET (RN, APRN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARGARET
Last Name:ROBOHM
Suffix:
Gender:F
Credentials:RN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:187 CORTHELL RD
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-4825
Mailing Address - Country:US
Mailing Address - Phone:307-399-6966
Mailing Address - Fax:
Practice Address - Street 1:1000 E. UNIVERSITY AVENUE
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82071
Practice Address - Country:US
Practice Address - Phone:307-766-2130
Practice Address - Fax:307-766-2711
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY23984.853363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily