Provider Demographics
NPI:1467936229
Name:HEASLIP, ROBIN FRANCES (RN)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:FRANCES
Last Name:HEASLIP
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 1:24 RICHMOND ST
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-2015
Mailing Address - Country:US
Mailing Address - Phone:631-991-5388
Mailing Address - Fax:
Practice Address - Street 1:24 RICHMOND ST
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-2015
Practice Address - Country:US
Practice Address - Phone:631-991-5388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY402578-1163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics