Provider Demographics
NPI:1215112073
Name:BROWN, ROBIN ANNETTE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:ANNETTE
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHALMERS WYLIE PLACE COLUMBUS VA OUTPATIENT CLINIC
Mailing Address - Street 2:420 N JAMES ROAD
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219
Mailing Address - Country:US
Mailing Address - Phone:614-257-5200
Mailing Address - Fax:
Practice Address - Street 1:CHALMERS WYLIE PLACE COLUMBUS VA OUTPATIENT CLINIC
Practice Address - Street 2:420 N JAMES ROAD
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219
Practice Address - Country:US
Practice Address - Phone:614-257-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0031835363LF0000X, 261QV0200X
GAF02170659363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA