Provider Demographics
NPI:1245309509
Name:ROBBINS, KATHIE (CRNFA)
Entity type:Individual
Prefix:
First Name:KATHIE
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:J&G
Other - Middle Name:SUGRICAL
Other - Last Name:FIRST ASSISTANT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:84 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:WARETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08758-2301
Mailing Address - Country:US
Mailing Address - Phone:732-600-8693
Mailing Address - Fax:609-693-9388
Practice Address - Street 1:SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:WARETOWN
Practice Address - State:NJ
Practice Address - Zip Code:08758-2301
Practice Address - Country:US
Practice Address - Phone:732-600-8693
Practice Address - Fax:609-693-9388
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO04889900163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant