Provider Demographics
NPI:1891017851
Name:ROBINSON, SALLIE ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:SALLIE
Middle Name:ANN
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 1:1892 STONEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-1221
Mailing Address - Country:US
Mailing Address - Phone:614-991-5962
Mailing Address - Fax:614-991-5962
Practice Address - Street 1:1892 STONEVIEW CT
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-1221
Practice Address - Country:US
Practice Address - Phone:614-991-5962
Practice Address - Fax:614-991-5962
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN257863163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse