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Individual

ROBIN DALE WELLINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP - C

Contact information

Practice address
10652 S EASTERN AVE, SUITE A, HENDERSON, NV 89052-4952
(702) 476-2800
(702) 476-2040
Mailing address
PO BOX 743752, ATLANTA, GA 30374-3752
(972) 745-7500
(972) 956-8887

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN79803
NV
363LF0000X
Family Nurse Practitioner
Primary
APRN001774
NV
363LF0000X
Family Nurse Practitioner
CNP121027
ME

Other

Enumeration date
10/10/2012
Last updated
09/06/2016
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