Provider Demographics
NPI:1649736943
Name:MCGEE, ROBYN D (CNA)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:D
Last Name:MCGEE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 E FUNDERBURG RD
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-2840
Mailing Address - Country:US
Mailing Address - Phone:937-581-8604
Mailing Address - Fax:
Practice Address - Street 1:50 E FUNDERBURG RD
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-2840
Practice Address - Country:US
Practice Address - Phone:937-581-8604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2144398251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2144398Medicaid