Provider Demographics
NPI:1851410419
Name:ROBINSON, AUGUSTINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:AUGUSTINE
Middle Name:
Last Name:ROBINSON
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 1:3062 CLARKSON DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2759
Mailing Address - Country:US
Mailing Address - Phone:410-569-0144
Mailing Address - Fax:410-569-0144
Practice Address - Street 1:34 N PHILADELPHIA BLVD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2511
Practice Address - Country:US
Practice Address - Phone:410-273-5626
Practice Address - Fax:410-272-5467
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR128675163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health