Individual
ROBIN R. BROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1010 E 45TH ST, SHAWNEE, OK 74804-2202
(405) 273-1170
(405) 275-5132
Mailing address
PO BOX 3848, SHAWNEE, OK 74802-3848
(405) 273-1170
(405) 275-5132
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R0070352
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070352
RN
OK
Enumeration date
08/01/2017
Last updated
08/01/2017
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