Provider Demographics
NPI:1750377180
Name:GREGORY, ROBIN COUTANT (CPNP)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:COUTANT
Last Name:GREGORY
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 W 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2505
Mailing Address - Country:US
Mailing Address - Phone:509-448-7337
Mailing Address - Fax:509-448-4750
Practice Address - Street 1:319 W 8TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2505
Practice Address - Country:US
Practice Address - Phone:509-448-7337
Practice Address - Fax:509-448-4750
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC148079363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics