Provider Demographics
NPI:1174130488
Name:LUNA, ROBYN LEE (FNP)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:LEE
Last Name:LUNA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 E VILLA MARIA RD
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-2541
Mailing Address - Country:US
Mailing Address - Phone:979-731-1676
Mailing Address - Fax:979-774-6305
Practice Address - Street 1:2011 E VILLA MARIA RD
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2541
Practice Address - Country:US
Practice Address - Phone:979-731-1676
Practice Address - Fax:979-774-6305
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1013527363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner