Provider Demographics
NPI:1295406064
Name:ENGLEHART, ROBIN LYNN (RN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:ENGLEHART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:SCHUYLERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12871-1019
Mailing Address - Country:US
Mailing Address - Phone:585-750-8408
Mailing Address - Fax:
Practice Address - Street 1:4 ELIZABETH LN
Practice Address - Street 2:
Practice Address - City:SCHUYLERVILLE
Practice Address - State:NY
Practice Address - Zip Code:12871-1876
Practice Address - Country:US
Practice Address - Phone:518-695-3255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY565778163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse