Provider Demographics
NPI:1861921082
Name:ROBINSON-THOMAS, CAROLYN ANNE (RN)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:ANNE
Last Name:ROBINSON-THOMAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 WYNDHAM S
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-8375
Mailing Address - Country:US
Mailing Address - Phone:504-371-2965
Mailing Address - Fax:
Practice Address - Street 1:1017 WYNDHAM S
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-8375
Practice Address - Country:US
Practice Address - Phone:504-371-2965
Practice Address - Fax:504-371-2965
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-09
Last Update Date:2017-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN077264163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse