Provider Demographics
NPI:1912254491
Name:WEST, ROBIN MARIA
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:MARIA
Last Name:WEST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 TUNIC AVE
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HIEGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747
Mailing Address - Country:US
Mailing Address - Phone:202-705-5885
Mailing Address - Fax:
Practice Address - Street 1:21 TUNIC AVE
Practice Address - Street 2:
Practice Address - City:CAPITOL HIEGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747
Practice Address - Country:US
Practice Address - Phone:202-705-5885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide