Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP 130586 | TX |
NPI | 1568825974 |
---|---|
Provider Name | Mrs. Heather Marie Robinson |
First Address | Lafayette, LA 70508-3870 |
Second Address | The Woodlands, TX 77380-3476 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2016 |
Last Update Date | 21/08/2019 |