Provider Demographics
NPI:1366897712
Name:ROBBINS, ANNIE WHITWORTH (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:ANNIE
Middle Name:WHITWORTH
Last Name:ROBBINS
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 1:1600 W EAU GALLIE BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-4149
Mailing Address - Country:US
Mailing Address - Phone:321-726-0007
Mailing Address - Fax:321-622-6231
Practice Address - Street 1:1600 W EAU GALLIE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-4149
Practice Address - Country:US
Practice Address - Phone:321-726-0007
Practice Address - Fax:321-622-6231
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-03
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9337704363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily