Provider Demographics
NPI:1275354979
Name:ROBBINS, EVELYN MARIE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:MARIE
Last Name:ROBBINS
Suffix:
Gender:
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 E ELMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4576
Mailing Address - Country:US
Mailing Address - Phone:937-269-1036
Mailing Address - Fax:
Practice Address - Street 1:7700 WASHINGTON VILLAGE DR
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4072
Practice Address - Country:US
Practice Address - Phone:937-425-4144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH336362163W00000X
OHAPRN.CNP.0037967363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse