Provider Demographics
NPI:1285971705
Name:MCKINLEY, ROBIN (NP)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:MCKINLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 HIGH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5201
Mailing Address - Country:US
Mailing Address - Phone:978-685-2460
Mailing Address - Fax:770-573-9513
Practice Address - Street 1:47 HIGH ST STE 101
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5201
Practice Address - Country:US
Practice Address - Phone:978-685-2460
Practice Address - Fax:770-573-9513
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN257653363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily