Provider Demographics
NPI:1215253133
Name:ROBINSON, CHANTAL JEAN (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:CHANTAL
Middle Name:JEAN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-5909
Mailing Address - Country:US
Mailing Address - Phone:513-829-3880
Mailing Address - Fax:513-829-3990
Practice Address - Street 1:1 CAROUSEL CIR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-8329
Practice Address - Country:US
Practice Address - Phone:513-829-3880
Practice Address - Fax:513-829-3990
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN250774163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse