Provider Demographics
NPI:1588091771
Name:HO CHEE, ROBYN MARIE (RN)
Entity type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:MARIE
Last Name:HO CHEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:MARIE
Other - Last Name:REYNOLDS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:155 SECOND AVE. NORTH
Mailing Address - Street 2:SUITE 209
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301
Mailing Address - Country:US
Mailing Address - Phone:208-737-0990
Mailing Address - Fax:208-737-0996
Practice Address - Street 1:155 SECOND AVE. NORTH
Practice Address - Street 2:SUITE 209
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301
Practice Address - Country:US
Practice Address - Phone:208-737-0990
Practice Address - Fax:208-737-0996
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDN-18284163W00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID147361805Medicaid