Provider Demographics
NPI:1841566346
Name:ROBINSON, GLORIA YVONNE JR (LPN)
Entity Type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:YVONNE
Last Name:ROBINSON
Suffix:JR
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5128 N 81ST ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-3601
Mailing Address - Country:US
Mailing Address - Phone:414-659-3584
Mailing Address - Fax:
Practice Address - Street 1:5128 N 81ST ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-3601
Practice Address - Country:US
Practice Address - Phone:414-659-3584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI311209-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse