Provider Demographics
NPI:1366550188
Name:BURNS, ROBI
Entity type:Individual
Prefix:
First Name:ROBI
Middle Name:
Last Name:BURNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROBI
Other - Middle Name:
Other - Last Name:KENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2633 W HORIZON RIDGE PKWY
Mailing Address - Street 2:STE 100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4833
Mailing Address - Country:US
Mailing Address - Phone:702-427-0494
Mailing Address - Fax:702-456-0856
Practice Address - Street 1:2633 W HORIZON RIDGE PKWY
Practice Address - Street 2:#100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4832
Practice Address - Country:US
Practice Address - Phone:702-427-0494
Practice Address - Fax:702-456-0856
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10745207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100502389Medicaid
NV100395Medicare ID - Type Unspecified
NV100502389Medicaid