Provider Demographics
NPI:1740219856
Name:ROBIN, MARY ANNETTE (BSN, CDE)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ANNETTE
Last Name:ROBIN
Suffix:
Gender:F
Credentials:BSN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196A PLAINFIELD PIKE
Mailing Address - Street 2:
Mailing Address - City:FOSTER
Mailing Address - State:RI
Mailing Address - Zip Code:02825-1250
Mailing Address - Country:US
Mailing Address - Phone:401-793-5823
Mailing Address - Fax:401-793-5815
Practice Address - Street 1:208 COLLYER ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-1560
Practice Address - Country:US
Practice Address - Phone:401-793-5810
Practice Address - Fax:401-793-5815
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI21128282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital