Provider Demographics
NPI:1699596833
Name:DACRES, ROBIN A (APRN)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:A
Last Name:DACRES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16187 61ST PL N
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-3419
Mailing Address - Country:US
Mailing Address - Phone:954-593-4143
Mailing Address - Fax:
Practice Address - Street 1:220 S DIXIE HWY STE 4
Practice Address - Street 2:
Practice Address - City:LAKE WORTH BEACH
Practice Address - State:FL
Practice Address - Zip Code:33460-4153
Practice Address - Country:US
Practice Address - Phone:954-774-1414
Practice Address - Fax:866-635-2090
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11033571363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily