Individual
ROBIN CECLIA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
488 SAINT LUKES DR, MONTGOMERY, AL 36117-7104
(334) 288-7808
(334) 288-8089
Mailing address
488 SAINT LUKES DR, MONTGOMERY, AL 36117-7104
(334) 288-7808
(334) 288-8089
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-10087
AL
163W00000X
Registered Nurse
RN.434112
OH
363LF0000X
Family Nurse Practitioner
Primary
1-110087
AL
363LF0000X
Family Nurse Practitioner
APRN.CNP.020444
OH
363LF0000X
Family Nurse Practitioner
CTP.021635
OH
Other
Enumeration date
03/18/2017
Last updated
11/05/2020
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