Provider Demographics
NPI:1841518891
Name:ROBERSON, LUANN (RN, BSN, CBPN-I,C)
Entity type:Individual
Prefix:MS
First Name:LUANN
Middle Name:
Last Name:ROBERSON
Suffix:
Gender:F
Credentials:RN, BSN, CBPN-I,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9700 N 91ST ST
Mailing Address - Street 2:STE C-200
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5054
Mailing Address - Country:US
Mailing Address - Phone:480-425-5000
Mailing Address - Fax:480-425-5010
Practice Address - Street 1:9220 E MOUNTAIN VIEW RD
Practice Address - Street 2:STE. 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5133
Practice Address - Country:US
Practice Address - Phone:480-425-5000
Practice Address - Fax:480-425-5010
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN041360163W00000X, 163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory