Provider Demographics
NPI:1215124359
Name:ROBBINS, ANGELA MICHELLE
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MICHELLE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1749 N. HWY. 7
Mailing Address - Street 2:
Mailing Address - City:SPARKMAN
Mailing Address - State:AR
Mailing Address - Zip Code:71763
Mailing Address - Country:US
Mailing Address - Phone:870-678-9248
Mailing Address - Fax:
Practice Address - Street 1:1755 N. HWY. 7
Practice Address - Street 2:
Practice Address - City:SPARKMAN
Practice Address - State:AR
Practice Address - Zip Code:71763
Practice Address - Country:US
Practice Address - Phone:870-678-9248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider