Provider Demographics
NPI:1730365024
Name:BRETT ROBBINS MSN RN CS FNP INC
Entity type:Organization
Organization Name:BRETT ROBBINS MSN RN CS FNP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:CFNP
Authorized Official - Phone:435-867-1960
Mailing Address - Street 1:PO BOX 1539
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-1539
Mailing Address - Country:US
Mailing Address - Phone:435-867-1960
Mailing Address - Fax:435-867-1962
Practice Address - Street 1:2002 N MAIN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-9811
Practice Address - Country:US
Practice Address - Phone:435-867-1960
Practice Address - Fax:435-867-1962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT216003-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT68472OtherPEHP
UT835681OtherFIRST HEALTH NETWORK
UT528063826021Medicaid
UT21600344001001OtherBLUE CROSS BLUE SHIELD
UT528063826021Medicaid