Provider Demographics
NPI:1427395607
Name:MATHEWS, ROBIN M (RN, APN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:M
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:RN, APN
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:M
Other - Last Name:TENENBAUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10 BRUNSWICK AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2507
Mailing Address - Country:US
Mailing Address - Phone:732-985-1500
Mailing Address - Fax:732-985-1799
Practice Address - Street 1:10 BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2507
Practice Address - Country:US
Practice Address - Phone:732-985-1500
Practice Address - Fax:732-985-1799
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00411700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily