Provider Demographics
NPI:1194788786
Name:SCHLEIFMAN, ROBYN A (CRNA)
Entity type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:A
Last Name:SCHLEIFMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:A
Other - Last Name:WIDELITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:9127 W RUSSELL RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1253
Mailing Address - Country:US
Mailing Address - Phone:702-878-0070
Mailing Address - Fax:702-209-2064
Practice Address - Street 1:9127 W RUSSELL RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-878-0070
Practice Address - Fax:702-209-2064
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4991332084P0804X
TXAP115261367500000X
NJ26NR1149367500000X
NVCRNA000531367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1194788786Medicaid
TX86878UOtherBLUE CROSS PROVIDER ID
TXP00452396OtherRR MEDICARE
TX188132801Medicaid
GA913200530AMedicaid
TX188132802Medicaid
TX188132801Medicaid
GA913200530AMedicaid
TX337243YK6UMedicare PIN