Provider Demographics
NPI:1184200271
Name:ROBINSON, NYKIA IMAN (CNA)
Entity Type:Individual
Prefix:
First Name:NYKIA
Middle Name:IMAN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 KIRKBRIDE AVE
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-4528
Mailing Address - Country:US
Mailing Address - Phone:609-591-0247
Mailing Address - Fax:
Practice Address - Street 1:14 KIRKBRIDE AVE
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638-4528
Practice Address - Country:US
Practice Address - Phone:609-591-0247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-20
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNA8519275251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health