Provider Demographics
NPI:1578856944
Name:ROBINSON, CARLA RUTH (RN)
Entity Type:Individual
Prefix:MS
First Name:CARLA
Middle Name:RUTH
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7096 COUNTY ROAD 15
Mailing Address - Street 2:
Mailing Address - City:RAYLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43943-7902
Mailing Address - Country:US
Mailing Address - Phone:740-996-1716
Mailing Address - Fax:
Practice Address - Street 1:7096 COUNTY ROAD 15
Practice Address - Street 2:
Practice Address - City:RAYLAND
Practice Address - State:OH
Practice Address - Zip Code:43943-7902
Practice Address - Country:US
Practice Address - Phone:740-996-1716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN. 318501163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse