Provider Demographics
NPI:1285114140
Name:ROBINSON, HEATHER CHRISTINE (RN)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:CHRISTINE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:CHRISTINE
Other - Last Name:CREACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30009 N SUNRISE PT
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-7873
Mailing Address - Country:US
Mailing Address - Phone:623-773-6504
Mailing Address - Fax:623-773-6507
Practice Address - Street 1:30009 N SUNRISE PT
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-7873
Practice Address - Country:US
Practice Address - Phone:623-773-6504
Practice Address - Fax:623-773-6507
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN164507163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool