Basic Information
| Provider Information | |||||||||
| NPI: | 1790931533 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MUNOZ | ||||||||
| FirstName: | ROBIN | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 FIANNA WAY | ||||||||
| Address2: | MAIL DROP 4840 | ||||||||
| City: | FORT SMITH | ||||||||
| State: | AR | ||||||||
| PostalCode: | 729199008 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4792014840 | ||||||||
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| Practice Location | |||||||||
| Address1: | 815 2ND ST | ||||||||
| Address2: | |||||||||
| City: | CRESSON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 166301141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8148862911 | ||||||||
| FaxNumber: | 8148868929 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2008 | ||||||||
| LastUpdateDate: | 05/23/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | SP009893 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.