Provider Demographics
NPI:1891249447
Name:ROBINSON, M EILEEN (RNC, ARNP, CNM)
Entity Type:Individual
Prefix:
First Name:M
Middle Name:EILEEN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RNC, ARNP, CNM
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:EILEEN
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNC, ARNP, CNM
Mailing Address - Street 1:617 W BLACKBURN RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-9501
Mailing Address - Country:US
Mailing Address - Phone:360-500-6097
Mailing Address - Fax:
Practice Address - Street 1:617 W BLACKBURN RD
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-9501
Practice Address - Country:US
Practice Address - Phone:360-500-6097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60682086367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife