Provider Demographics
NPI:1154455046
Name:KIRK, ROBIN ANN LYNN (BSRN MSN FNP-C)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANN LYNN
Last Name:KIRK
Suffix:
Gender:F
Credentials:BSRN MSN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 MATTLYN CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6509
Mailing Address - Country:US
Mailing Address - Phone:919-212-7991
Mailing Address - Fax:919-250-4517
Practice Address - Street 1:10 SUNNYBROOK RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1808
Practice Address - Country:US
Practice Address - Phone:919-212-7991
Practice Address - Fax:919-250-4517
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201355363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily