Provider Demographics
NPI:1407287832
Name:ROBINSON, HEATHER ANGOLIA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ANGOLIA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:935 SHOTWELL RD
Mailing Address - Street 2:108
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-5597
Mailing Address - Country:US
Mailing Address - Phone:919-550-0821
Mailing Address - Fax:919-719-3645
Practice Address - Street 1:935 SHOTWELL RD
Practice Address - Street 2:108
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5597
Practice Address - Country:US
Practice Address - Phone:919-550-0821
Practice Address - Fax:919-719-3645
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-04731363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant