Organization
WEST UNION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL ROBBINS FNP (OWNER)
(662) 534-0033
Entity
Organization
Contact information
Practice address
1561 HWY 30 WEST, MYRTLE, MS 38650
(662) 534-0033
(662) 539-0039
Mailing address
1561 HWY 30 WEST, MYRTLE, MS 38650
(662) 534-0033
(662) 539-0039
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R860041
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03156350
—
MS
05
—
06021701
—
MS
01
—
428614032A
BCBS
MS
Enumeration date
05/08/2007
Last updated
08/11/2008
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