Provider Demographics
NPI:1902913924
Name:ROBINSON, DEAN LEIGHTON (ANP/PMHNP)
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:LEIGHTON
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:ANP/PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6927 OLD SEWARD HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-2284
Mailing Address - Country:US
Mailing Address - Phone:907-268-0043
Mailing Address - Fax:907-677-0844
Practice Address - Street 1:6927 OLD SEWARD HWY STE 201
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-2284
Practice Address - Country:US
Practice Address - Phone:907-268-0043
Practice Address - Fax:907-677-0844
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNURU760363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKQ50193Medicare UPIN
AKNP8607Medicaid
AK8EB950Medicare ID - Type Unspecified