Provider Demographics
NPI:1659085405
Name:ROBINSON, AMANDA RISHEE
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:RISHEE
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 1:4331 PIPER LN
Mailing Address - Street 2:
Mailing Address - City:MARBURY
Mailing Address - State:MD
Mailing Address - Zip Code:20658-2014
Mailing Address - Country:US
Mailing Address - Phone:240-222-2442
Mailing Address - Fax:
Practice Address - Street 1:4331 PIPER LN
Practice Address - Street 2:
Practice Address - City:MARBURY
Practice Address - State:MD
Practice Address - Zip Code:20658-2014
Practice Address - Country:US
Practice Address - Phone:240-222-2442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD385HR2050X, 376K00000X, 372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
No372600000XNursing Service Related ProvidersAdult Companion