Provider Demographics
NPI:1891960829
Name:FLEET, ROBIN G (CRNP)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:G
Last Name:FLEET
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7740 WASHINGTON VILLAGE DR STE 160
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3994
Mailing Address - Country:US
Mailing Address - Phone:937-436-9825
Mailing Address - Fax:937-433-6508
Practice Address - Street 1:7740 WASHINGTON VILLAGE DR STE 160
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-3994
Practice Address - Country:US
Practice Address - Phone:937-436-9825
Practice Address - Fax:937-433-6508
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN185406207V00000X
OHCOA05941NP363L00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCOA05941NPOtherOHIO LICENSE
OH2226595Medicaid
OHRX05941OtherCERTICATE TO PRESCRIBE
OHH136200Medicare PIN