Provider Demographics
NPI:1568797074
Name:ROBINSON, PAMELA M (RN, BSCN)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN, BSCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 E PALM LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2116
Mailing Address - Country:US
Mailing Address - Phone:602-257-3855
Mailing Address - Fax:602-257-3937
Practice Address - Street 1:915 E PALM LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2116
Practice Address - Country:US
Practice Address - Phone:602-257-3855
Practice Address - Fax:602-257-3937
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN141095163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse