Provider Demographics
NPI:1205802535
Name:ORFORD, ROBIN P (NP)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:P
Last Name:ORFORD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:133 LITTLETON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3198
Mailing Address - Country:US
Mailing Address - Phone:978-619-5447
Mailing Address - Fax:978-629-9904
Practice Address - Street 1:133 LITTLETON RD STE 103
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3198
Practice Address - Country:US
Practice Address - Phone:978-619-5447
Practice Address - Fax:978-629-9904
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA141909363LP0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP9929OtherBLUE CROSS
MAAA2247OtherHARVARD PILGRIM
MA0368920Medicaid
MANP1923Medicare ID - Type Unspecified
MA0368920Medicaid