Provider Demographics
NPI:1194280461
Name:GASPARINI, ROBIN N (DNP, APRN, ACNS, BC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:N
Last Name:GASPARINI
Suffix:
Gender:F
Credentials:DNP, APRN, ACNS, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 S FLETCHER AVE
Mailing Address - Street 2:
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-2228
Mailing Address - Country:US
Mailing Address - Phone:919-416-8408
Mailing Address - Fax:
Practice Address - Street 1:608 S FLETCHER AVE
Practice Address - Street 2:
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-2228
Practice Address - Country:US
Practice Address - Phone:919-416-8408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9465991364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist