Provider Demographics
NPI:1972596435
Name:ROBBINS, HYLA ROSMARY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HYLA
Middle Name:ROSMARY
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17300 SW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:MARTELL
Mailing Address - State:NE
Mailing Address - Zip Code:68404-5010
Mailing Address - Country:US
Mailing Address - Phone:402-794-6798
Mailing Address - Fax:
Practice Address - Street 1:55MDG 2501 CAPEHART RD.
Practice Address - Street 2:
Practice Address - City:OFFUTT AFB
Practice Address - State:NE
Practice Address - Zip Code:68113-2160
Practice Address - Country:US
Practice Address - Phone:402-294-6606
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE541363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical