Provider Demographics
NPI:1710505110
Name:ROBINETTE, LISA A (AGNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:A
Last Name:ROBINETTE
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5050 GLENCROSSING WAY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-3360
Mailing Address - Country:US
Mailing Address - Phone:513-813-4311
Mailing Address - Fax:513-810-3733
Practice Address - Street 1:5050 GLENCROSSING WAY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-3360
Practice Address - Country:US
Practice Address - Phone:513-813-4311
Practice Address - Fax:513-810-3733
Is Sole Proprietor?:No
Enumeration Date:2020-07-12
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLE-00032052363LF0000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily