Provider Demographics
NPI:1033131313
Name:ROBINSON, RENEE (FNP)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX SURG-TXP
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-5875
Mailing Address - Fax:585-271-7929
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX SURG-TXP
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-5875
Practice Address - Fax:585-271-7929
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333409363LF0000X
NYF33340091363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily