Individual
MRS. AMANDA BETH ROBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8803 S 101ST EAST AVE STE 100, TULSA, OK 74133
(918) 579-2791
(918) 579-2799
Mailing address
8903 GLADES RD, STE A11, BOCA RATON, FL 33434-2006
(561) 482-7575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
85899
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200563610A
—
OK
Enumeration date
10/17/2014
Last updated
12/18/2021
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