Provider Demographics
NPI:1528340122
Name:ROBBINS, MELANIE (CNP)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 S CHRISTOPHER RD
Mailing Address - Street 2:PMG - BELEN
Mailing Address - City:BELEN
Mailing Address - State:NM
Mailing Address - Zip Code:87002
Mailing Address - Country:US
Mailing Address - Phone:505-864-5454
Mailing Address - Fax:505-864-5450
Practice Address - Street 1:609 S CHRISTOPHER RD
Practice Address - Street 2:PMG - BELEN
Practice Address - City:BELEN
Practice Address - State:NM
Practice Address - Zip Code:87002
Practice Address - Country:US
Practice Address - Phone:505-864-5454
Practice Address - Fax:505-864-5450
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-01824363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily