Provider Demographics
NPI:1992143465
Name:SANTIAGO, ROBYN (FNP-BC)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7630 LADSON TER
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7726
Mailing Address - Country:US
Mailing Address - Phone:954-336-8682
Mailing Address - Fax:
Practice Address - Street 1:7730 W BOYNTON BEACH BLVD STE 3
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-6155
Practice Address - Country:US
Practice Address - Phone:561-877-1800
Practice Address - Fax:866-950-0144
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9181310363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily