Provider Demographics
NPI:1871661223
Name:ROBBINS, AMY BETH (CFNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:BETH
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3921 W SUNSET BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-2241
Mailing Address - Country:US
Mailing Address - Phone:213-669-2078
Mailing Address - Fax:
Practice Address - Street 1:3921 W SUNSET BLVD FL 2
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-2241
Practice Address - Country:US
Practice Address - Phone:213-669-2078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704185046363L00000X
NMCNP-02499363LF0000X, 363LP2300X
CANP95023486363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1871661223Medicaid
MI50-0-601381OtherBCBS GROUP
MI50-0-87-7365OtherBCBS INDIVIDUAL
MI50-0-601381OtherBCBS GROUP