Provider Demographics
NPI:1831476894
Name:HUPP, ROBIN J (RN)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:J
Last Name:HUPP
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 NEGLEY AVE SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44706-2146
Mailing Address - Country:US
Mailing Address - Phone:330-477-9029
Mailing Address - Fax:
Practice Address - Street 1:2301 NEGLEY AVE SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44706-2146
Practice Address - Country:US
Practice Address - Phone:330-477-9029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN168206163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN168206OtherBOARD OF NURSING