Basic Information
| Provider Information | |||||||||
| NPI: | 1396065413 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REESE | ||||||||
| FirstName: | ROBYN | ||||||||
| MiddleName: | MARA | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | APRN, CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2044 TRINITY OAKS BLVD STE 125 | ||||||||
| Address2: | |||||||||
| City: | TRINITY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346554405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7273760060 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2044 TRINITY OAKS BLVD STE 125 | ||||||||
| Address2: | |||||||||
| City: | TRINITY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346554405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7273760060 | ||||||||
| FaxNumber: | 7273757308 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2010 | ||||||||
| LastUpdateDate: | 12/14/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | ARNP FL2727962 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.