Provider Demographics
NPI:1083621650
Name:MYERS, ROBIN LEIGH (ARNP)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LEIGH
Last Name:MYERS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:LEIGH
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1433 BUNKER DR
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8146
Mailing Address - Country:US
Mailing Address - Phone:412-720-1406
Mailing Address - Fax:
Practice Address - Street 1:1433 BUNKER DR
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33896-8146
Practice Address - Country:US
Practice Address - Phone:412-720-1406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP11029866363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL290209500Medicaid