Provider Demographics
NPI:1518797109
Name:ANDERSON, ROBIN SHAY (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:SHAY
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:SHAY
Other - Last Name:BABER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:709 BETTER NOW PLZ
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-2279
Mailing Address - Country:US
Mailing Address - Phone:580-310-9899
Mailing Address - Fax:580-310-9818
Practice Address - Street 1:709 BETTER NOW PLZ
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-2279
Practice Address - Country:US
Practice Address - Phone:580-310-9899
Practice Address - Fax:580-310-9818
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK219290363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily