Provider Demographics
NPI:1083050876
Name:GOLDSTEIN, ROBIN JILL (NP-C)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:JILL
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 PETER JEFFERSON PARKWAY SUITE 300
Mailing Address - Street 2:HOSPICE OF THE PIEDMONT
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911
Mailing Address - Country:US
Mailing Address - Phone:434-817-6900
Mailing Address - Fax:
Practice Address - Street 1:675 PETER JEFFERSON PARKWAY
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911
Practice Address - Country:US
Practice Address - Phone:434-817-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAF1112093363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily