Provider Demographics
NPI:1235142860
Name:ROBINSON, HEIDI MARIE (DNP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:MARIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10869 STATE ROUTE 36
Mailing Address - Street 2:
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437-9444
Mailing Address - Country:US
Mailing Address - Phone:585-335-3100
Mailing Address - Fax:585-335-8695
Practice Address - Street 1:12 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:CANASERAGA
Practice Address - State:NY
Practice Address - Zip Code:14822-9721
Practice Address - Country:US
Practice Address - Phone:607-545-2111
Practice Address - Fax:607-545-2100
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334973-1363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03284195Medicaid
NYRB6273Medicare PIN
NYJ400090163Medicare PIN