Provider Demographics
NPI:1568138840
Name:ROBINSON, MARIE JEANNE
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:JEANNE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 ABEL AVE
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-2802
Mailing Address - Country:US
Mailing Address - Phone:240-441-9025
Mailing Address - Fax:
Practice Address - Street 1:2611 SOUTH CLARK STREET
Practice Address - Street 2:SUITE 700
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-2220
Practice Address - Country:US
Practice Address - Phone:844-381-4432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide