Provider Demographics
NPI:1801378302
Name:ROBINSON, NICOLE M (CNP)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:M
Other - Last Name:CLELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:540 PARMALEE AVE STE 610
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44510-1605
Mailing Address - Country:US
Mailing Address - Phone:330-744-4369
Mailing Address - Fax:330-744-1728
Practice Address - Street 1:8401 MARKET ST
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-6725
Practice Address - Country:US
Practice Address - Phone:330-729-4298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.023646163WI0600X, 363LG0600X
OH2018036400207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease