Individual
ROBIN J UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
188 HOSPITAL DR, SUITE 100, FAIRHOPE, AL 36532-2043
(251) 990-9500
(251) 990-9501
Mailing address
6701 AIRPORT BLVD, SUITE D-330, MOBILE, AL 36608-6705
(251) 607-9797
(251) 607-9761
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1035842
AL
363LF0000X
Family Nurse Practitioner
1-035842
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0515-05708
BLUE CROSS BLUE SHIELD
AL
05
—
051505706
—
AL
Enumeration date
05/31/2006
Last updated
07/14/2016
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