Provider Demographics
NPI:1962896852
Name:SMITH, ROBBYN DEBORAH-RENEE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ROBBYN
Middle Name:DEBORAH-RENEE
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9570 W HEREFORD DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1875
Mailing Address - Country:US
Mailing Address - Phone:734-678-0725
Mailing Address - Fax:
Practice Address - Street 1:9570 W HEREFORD DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1875
Practice Address - Country:US
Practice Address - Phone:734-678-0725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704245929363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily