Provider Demographics
NPI:1649353764
Name:ROBBINS, EILEEN C (APRN)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:C
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 S EWING ST STE 509
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-5732
Mailing Address - Country:US
Mailing Address - Phone:406-830-3149
Mailing Address - Fax:406-830-3156
Practice Address - Street 1:25 S EWING ST STE 509
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5732
Practice Address - Country:US
Practice Address - Phone:406-830-3149
Practice Address - Fax:406-830-3156
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT99925363LP0808X
MT10041163WP0809X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT10041OtherMT STATE LICENSE
MTP44015Medicare UPIN