Provider Demographics
NPI:1114512076
Name:ROBIN, INGRID
Entity Type:Individual
Prefix:
First Name:INGRID
Middle Name:
Last Name:ROBIN
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 1:5516 LANHAM STATION RD
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2502
Mailing Address - Country:US
Mailing Address - Phone:240-350-2915
Mailing Address - Fax:
Practice Address - Street 1:1322 HALF ST SW APT 301
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-4100
Practice Address - Country:US
Practice Address - Phone:202-387-6116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion