Provider Demographics
NPI:1356675318
Name:ROBINSON, KATHERINE MAUZY (LNP)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MAUZY
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LNP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:CASSELL
Other - Last Name:MAUZY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LNP
Mailing Address - Street 1:4825 S LABURNUM AVE
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2713
Mailing Address - Country:US
Mailing Address - Phone:804-222-8194
Mailing Address - Fax:804-236-9118
Practice Address - Street 1:4825 S LABURNUM AVE
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-2713
Practice Address - Country:US
Practice Address - Phone:804-222-8194
Practice Address - Fax:804-236-9118
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001205781163W00000X
VA0024168487363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse