Provider Demographics
NPI:1598058836
Name:GOODWIN, ROBIN LOUISE (C-FNP)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LOUISE
Last Name:GOODWIN
Suffix:
Gender:F
Credentials:C-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1343 N PRESTON HWY
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26537-7633
Mailing Address - Country:US
Mailing Address - Phone:304-441-2001
Mailing Address - Fax:
Practice Address - Street 1:1343 N PRESTON HWY
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:WV
Practice Address - Zip Code:26537-7633
Practice Address - Country:US
Practice Address - Phone:304-441-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2011001807363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily