Provider Demographics
NPI:1215748504
Name:ROBINSON, MELANIE TRACIE (APN, WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:TRACIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:APN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 FOUR MILE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-1862
Mailing Address - Country:US
Mailing Address - Phone:609-781-0668
Mailing Address - Fax:
Practice Address - Street 1:320 OHIO AVE
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-2524
Practice Address - Country:US
Practice Address - Phone:833-377-8474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15165400363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health