Individual
MRS. IDA DENISE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RN1-099845
AL
363LF0000X
Family Nurse Practitioner
Primary
1-099845
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN1-099845
LISCENSE NUMBER
AL
Enumeration date
08/18/2009
Last updated
02/13/2024
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