Provider Demographics
NPI:1437490059
Name:DANIEL, ROBIN (PMHNP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:DANIEL
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 EISENHOWER DR
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1404
Mailing Address - Country:US
Mailing Address - Phone:201-291-0055
Mailing Address - Fax:201-291-0888
Practice Address - Street 1:40 EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1404
Practice Address - Country:US
Practice Address - Phone:201-291-0055
Practice Address - Fax:201-291-0888
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00423600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health