Provider Demographics
NPI:1427005818
Name:CENTNER, ROBIN (CNM MSN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:CENTNER
Suffix:
Gender:F
Credentials:CNM MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-2399
Mailing Address - Country:US
Mailing Address - Phone:513-584-3999
Mailing Address - Fax:513-584-4111
Practice Address - Street 1:3130 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2399
Practice Address - Country:US
Practice Address - Phone:513-584-3999
Practice Address - Fax:513-584-4111
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1065104163W00000X
KY3694M363L00000X, 367A00000X
KY3003694363L00000X
OHCOA.14419-NM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78010923Medicaid
OH2555097Medicaid
IN200996520Medicaid
KY3403401Medicare PIN
KY0969482Medicare PIN
KY0969459Medicare PIN
OH2555097Medicaid
KY78010923Medicaid