Provider Demographics
NPI:1487600607
Name:ROBINSON, CECILIA RENEE (CRNP)
Entity type:Individual
Prefix:MS
First Name:CECILIA
Middle Name:RENEE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 HEALTHWEST DR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-6900
Mailing Address - Country:US
Mailing Address - Phone:334-699-5994
Mailing Address - Fax:334-699-5995
Practice Address - Street 1:500 HEALTHWEST DR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-6900
Practice Address - Country:US
Practice Address - Phone:334-699-5994
Practice Address - Fax:334-699-5995
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-074572363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL129839Medicaid
AL51113702OtherBCBS
AL51113702OtherBCBS