Provider Demographics
NPI:1417197559
Name:RISING, ROBIN ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:ANN
Last Name:RISING
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 1:1335 RITCHIE ROAD
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OK
Mailing Address - Zip Code:44224-1721
Mailing Address - Country:US
Mailing Address - Phone:330-686-5330
Mailing Address - Fax:
Practice Address - Street 1:1335 RITCHIE RD
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-1721
Practice Address - Country:US
Practice Address - Phone:330-686-5330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 342524163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN 342524OtherRN LICENSE