Provider Demographics
NPI:1861112914
Name:ROBINSON, DIANA CHRISTINE (NP)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:CHRISTINE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:CHRISTINE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:595 S BLUFF ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3593
Mailing Address - Country:US
Mailing Address - Phone:435-674-9933
Mailing Address - Fax:
Practice Address - Street 1:595 S BLUFF ST STE 1
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3593
Practice Address - Country:US
Practice Address - Phone:435-674-9933
Practice Address - Fax:435-674-7227
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7118940-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily