Provider Demographics
NPI:1114658697
Name:ROBINETTE, ANGELA DAWN
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:DAWN
Last Name:ROBINETTE
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 1:518 ALLEGHENY AVE.
Mailing Address - Street 2:
Mailing Address - City:PEACH CREEK
Mailing Address - State:WV
Mailing Address - Zip Code:25639
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:518 ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:PEACH CREEK
Practice Address - State:WV
Practice Address - Zip Code:25639
Practice Address - Country:US
Practice Address - Phone:304-733-1094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant