Provider Demographics
NPI:1588209316
Name:ROBINSON, TRIXY CARLEEN
Entity Type:Individual
Prefix:
First Name:TRIXY
Middle Name:CARLEEN
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 1:3813 JAY ST NE APT 7
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-1851
Mailing Address - Country:US
Mailing Address - Phone:434-327-3363
Mailing Address - Fax:
Practice Address - Street 1:3813 JAY ST NE APT 7
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-1851
Practice Address - Country:US
Practice Address - Phone:434-327-3363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-15
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant