Individual
MR. WENDELL PERRY ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1051 GAUSE BLVD STE 480, SLIDELL, LA 70458
(985) 898-7420
Mailing address
1051 GAUSE BLVD STE 480, SLIDELL, LA 70458-2942
(985) 898-7420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R893115
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
215666
LA
Other
Enumeration date
11/19/2014
Last updated
07/28/2021
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