Provider Demographics
NPI:1205130499
Name:ESPY, ROBERT CRAIG (CRNP)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:CRAIG
Last Name:ESPY
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7282 COUNTY ROAD 53
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36310-6562
Mailing Address - Country:US
Mailing Address - Phone:334-585-0332
Mailing Address - Fax:
Practice Address - Street 1:217 DOTHAN RD
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36310-2836
Practice Address - Country:US
Practice Address - Phone:334-585-6421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-01
Last Update Date:2011-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-105406363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care