Provider Demographics
NPI:1033542717
Name:LABERGE, ROBIN ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:ELIZABETH
Last Name:LABERGE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6 TSIENNETO RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-1584
Mailing Address - Country:US
Mailing Address - Phone:603-432-8802
Mailing Address - Fax:603-432-7430
Practice Address - Street 1:6 TSIENNETO RD
Practice Address - Street 2:SUITE 301
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1584
Practice Address - Country:US
Practice Address - Phone:603-432-8802
Practice Address - Fax:603-432-7430
Is Sole Proprietor?:No
Enumeration Date:2013-08-16
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH0969363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant