Provider Demographics
NPI:1699169151
Name:PARTRIDGE, ROBIN S (LPN)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:S
Last Name:PARTRIDGE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 BEECHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45309-9259
Mailing Address - Country:US
Mailing Address - Phone:937-751-6694
Mailing Address - Fax:
Practice Address - Street 1:67 BEECHVIEW DR
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:OH
Practice Address - Zip Code:45309-9259
Practice Address - Country:US
Practice Address - Phone:937-751-6694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-142935-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse