Provider Demographics
NPI:1184292443
Name:ROBINSON, GINA MARIE (RN)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 INDUSTRIES RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1500
Mailing Address - Country:US
Mailing Address - Phone:765-935-0135
Mailing Address - Fax:765-935-0150
Practice Address - Street 1:400 INDUSTRIES RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1500
Practice Address - Country:US
Practice Address - Phone:765-935-0135
Practice Address - Fax:765-935-0150
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN28119471A364SL0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SL0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistLong-Term Care