Provider Demographics
NPI:1588649073
Name:ROBB, JANET SARA (CRNP)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:SARA
Last Name:ROBB
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:KESSLER
Other - Last Name:ROBB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:345 W NESHANNOCK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW WILMINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:16142-1008
Mailing Address - Country:US
Mailing Address - Phone:724-699-2155
Mailing Address - Fax:
Practice Address - Street 1:875 N HERMITAGE RD STE 3
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-3278
Practice Address - Country:US
Practice Address - Phone:724-347-4851
Practice Address - Fax:724-347-4853
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH329147163W00000X
PARN305587L163W00000X
OHNP09114363LW0102X
PASP001839G363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1031059940017Medicaid
OH0188417Medicaid