Provider Demographics
NPI:1215992417
Name:ROBBINS, PAMELA A (CPNP)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:A
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 MARGARET ST
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-4605
Mailing Address - Country:US
Mailing Address - Phone:518-561-6195
Mailing Address - Fax:518-566-7535
Practice Address - Street 1:459 MARGARET ST
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-4605
Practice Address - Country:US
Practice Address - Phone:518-561-5677
Practice Address - Fax:519-566-7535
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380092-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF380092-1OtherNYS LICENSE