Provider Demographics
NPI:1063732600
Name:ROBLYER, KATHLEEN ANNE CASEY (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:ANNE CASEY
Last Name:ROBLYER
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:ANNE
Other - Last Name:CASEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2421 EARL RUDDER FWY S STE A
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-6025
Mailing Address - Country:US
Mailing Address - Phone:979-693-0863
Mailing Address - Fax:979-693-0854
Practice Address - Street 1:2421 EARL RUDDER FWY S STE A
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-6025
Practice Address - Country:US
Practice Address - Phone:979-693-0863
Practice Address - Fax:979-693-0854
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-05
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX439439163W00000X, 163W00000X, 363LP0808X
TXAP120293363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse