Provider Demographics
NPI:1679125884
Name:ROBINSON, ANDREA DASHA
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:DASHA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ANDREA
Other - Middle Name:DASHA
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS ROBINSON
Mailing Address - Street 1:3064 STANTON RD SE APT 202
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-7888
Mailing Address - Country:US
Mailing Address - Phone:202-270-1458
Mailing Address - Fax:
Practice Address - Street 1:3064 STANTON RD SE APT 202
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-7888
Practice Address - Country:US
Practice Address - Phone:202-270-1458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide