Provider Demographics
NPI:1942839485
Name:ROBINSON, AVRIL STACEYANNE (RN, FNP)
Entity Type:Individual
Prefix:
First Name:AVRIL
Middle Name:STACEYANNE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 E 101ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-2618
Mailing Address - Country:US
Mailing Address - Phone:347-223-1050
Mailing Address - Fax:
Practice Address - Street 1:924 E 101ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-2618
Practice Address - Country:US
Practice Address - Phone:347-223-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY488186-1363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care