Provider Demographics
NPI:1528013521
Name:HERMAN-LAOUI, ROBIN (FNP)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:
Last Name:HERMAN-LAOUI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 WASHINGTON ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4729
Mailing Address - Country:US
Mailing Address - Phone:781-849-7330
Mailing Address - Fax:781-356-7599
Practice Address - Street 1:400 WASHINGTON ST
Practice Address - Street 2:SUITE 402
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-4729
Practice Address - Country:US
Practice Address - Phone:781-849-7330
Practice Address - Fax:781-356-7599
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234256363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP3456OtherBLUE CROSS/BLUE SHIELD
MAP40483Medicare UPIN
MAHE NP3456Medicare ID - Type Unspecified