Wallen, Robyn Nicole

Wallen, Robyn Nicole is an individual health care provider with primary practice located at 2 Tampa General Cir , Tampa FL 33606-3603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Wallen, Robyn Nicole can be contacted via phone (813) 259-8700.

Contact Information

Primary practice address
2 Tampa General Cir Tampa FL 33606-3603
Phone: (813) 259-8700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 9265791 Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X ARNP9265791 Florida

Profile Details

NPI number 1629472972
LBN Legal business name Wallen, Robyn Nicole
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2014
Last updated Oct 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629472972 NPPES
Florida Other Y0P1C BLUE CROSS BLUE SHIELD
Florida MEDICAID 014155000 BLUE CROSS BLUE SHIELD

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