Provider Demographics
NPI:1972546950
Name:SANGER, ROBIN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:SANGER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 432
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-0432
Mailing Address - Country:US
Mailing Address - Phone:606-218-3592
Mailing Address - Fax:606-218-4944
Practice Address - Street 1:231 HIBBARD ST
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-4777
Practice Address - Country:US
Practice Address - Phone:606-218-3592
Practice Address - Fax:606-218-4944
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV62056163W00000X, 363LF0000X
KY3005494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100103160Medicaid
WVQ71255Medicare UPIN