Provider Demographics
NPI:1568459733
Name:ROBINSON, DARBI NICHOLE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DARBI
Middle Name:NICHOLE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:22 S GREENE ST
Mailing Address - Street 2:NEONATOLOGY DEPARTMENT
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1544
Mailing Address - Country:US
Mailing Address - Phone:410-328-6717
Mailing Address - Fax:410-543-7586
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:NEONATOLOGY DEPARTMENT
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-328-6717
Practice Address - Fax:410-543-7586
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR154915363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD406819000Medicaid
DE1000035836Medicaid
DE1000035836Medicaid
MD406819000Medicaid