Provider Demographics
NPI:1992946867
Name:ROBINSON, CHARLENE (RN-348560)
Entity type:Individual
Prefix:MRS
First Name:CHARLENE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN-348560
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4117 E 74TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-5003
Mailing Address - Country:US
Mailing Address - Phone:216-429-2564
Mailing Address - Fax:216-429-2564
Practice Address - Street 1:4117 E 74TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-5003
Practice Address - Country:US
Practice Address - Phone:216-429-2564
Practice Address - Fax:216-429-2564
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-348560163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse