Provider Demographics
NPI:1396065413
Name:REESE, ROBYN MARA (APRN, CNM)
Entity type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:MARA
Last Name:REESE
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2044 TRINITY OAKS BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4405
Mailing Address - Country:US
Mailing Address - Phone:727-376-0060
Mailing Address - Fax:
Practice Address - Street 1:2044 TRINITY OAKS BLVD STE 125
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-4405
Practice Address - Country:US
Practice Address - Phone:727-376-0060
Practice Address - Fax:727-375-7308
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP FL2727962367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife