Provider Demographics
NPI:1023068426
Name:ROBBINS, BRETT E (MSN,RN,CS,FNP,INC)
Entity type:Individual
Prefix:MR
First Name:BRETT
Middle Name:E
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MSN,RN,CS,FNP,INC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 N MAIN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-9811
Mailing Address - Country:US
Mailing Address - Phone:435-867-1960
Mailing Address - Fax:435-867-1962
Practice Address - Street 1:2002 N MAIN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-9811
Practice Address - Country:US
Practice Address - Phone:435-867-1960
Practice Address - Fax:435-867-1962
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT216003-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTS42160Medicare UPIN
UT005705301Medicare PIN