Provider Demographics
NPI:1285894568
Name:ROBINSON, PATRICIA ELAINE (RNC WHNP CCD)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ELAINE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RNC WHNP CCD
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Mailing Address - Street 1:12420 WARWICK BLVD
Mailing Address - Street 2:SUITE 5B
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3001
Mailing Address - Country:US
Mailing Address - Phone:757-596-6369
Mailing Address - Fax:757-595-8167
Practice Address - Street 1:12420 WARWICK BLVD
Practice Address - Street 2:SUITE 5B
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3001
Practice Address - Country:US
Practice Address - Phone:757-596-6369
Practice Address - Fax:757-595-8167
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024167565363LW0102X
WAAP30007742363LW0102X
MO109044363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI429890007Medicaid