1720568264 NPI number — MS. CHRISTINA ROBINSON

Table of content: MS. CHRISTINA ROBINSON (NPI 1720568264)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720568264 NPI number — MS. CHRISTINA ROBINSON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBINSON
Provider First Name:
CHRISTINA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
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:
1720568264
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/15/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
214 MIDDLE GRAVE CREEK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOUNDSVILLE
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26041-6009
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-843-4400
Provider Business Mailing Address Fax Number:
304-843-5095

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
WASHINGTON LANDS ELEMENTARY
Provider Second Line Business Practice Location Address:
116 SCHOOL RD.
Provider Business Practice Location Address City Name:
MOUNDSVILLE
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-843-4420
Provider Business Practice Location Address Fax Number:
304-843-4459
Provider Enumeration Date:
08/15/2018

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: 163WS0200X , with the licence number:  55682 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 55682 . This is a "REGISTERED NURSE" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".




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