1841518891 NPI number — MS. LUANN ROBERSON RN, BSN, CBPN-I,C

Table of content: MS. LUANN ROBERSON RN, BSN, CBPN-I,C (NPI 1841518891)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841518891 NPI number — MS. LUANN ROBERSON RN, BSN, CBPN-I,C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBERSON
Provider First Name:
LUANN
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
RN, BSN, CBPN-I,C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841518891
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9700 N 91ST ST
Provider Second Line Business Mailing Address:
STE C-200
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85258-5054
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-425-5000
Provider Business Mailing Address Fax Number:
480-425-5010

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9220 E MOUNTAIN VIEW RD
Provider Second Line Business Practice Location Address:
STE. 100
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85258-5133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-425-5000
Provider Business Practice Location Address Fax Number:
480-425-5010
Provider Enumeration Date:
05/13/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  RN041360 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 163WW0101X , with the licence number: RN041360 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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