Provider Demographics
NPI:1568613602
Name:MAPES, ROBIN LYNN (LPN)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LYNN
Last Name:MAPES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 GENUNG ST
Mailing Address - Street 2:APARTMENT 4J
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-5325
Mailing Address - Country:US
Mailing Address - Phone:845-800-9605
Mailing Address - Fax:
Practice Address - Street 1:116 GENUNG ST
Practice Address - Street 2:APARTMENT 4J
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-5325
Practice Address - Country:US
Practice Address - Phone:845-800-9605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274420-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse