Provider Demographics
NPI:1972821668
Name:ROBINSON, AYANNA WILLIAMS (LPN)
Entity Type:Individual
Prefix:
First Name:AYANNA
Middle Name:WILLIAMS
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:AYANNA
Other - Middle Name:MONIQUE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:7780 COMPTON LAKE DR APT C
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3049
Mailing Address - Country:US
Mailing Address - Phone:513-846-3977
Mailing Address - Fax:
Practice Address - Street 1:7780 COMPTON LAKE DR APT C
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3049
Practice Address - Country:US
Practice Address - Phone:513-846-3977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 132534 M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse