Provider Demographics
NPI:1972641462
Name:LEVINE, ROBIN (RN)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:LEVINE
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 1:3211 TANEY RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-3725
Mailing Address - Country:US
Mailing Address - Phone:410-358-2974
Mailing Address - Fax:410-605-7676
Practice Address - Street 1:3900 LOCH RAVEN BLVD
Practice Address - Street 2:BUILDING 2
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2108
Practice Address - Country:US
Practice Address - Phone:410-605-7638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR156349163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse