Provider Demographics
NPI:1295235844
Name:ROBINSON, RAIJANIECE CENAE (LVN)
Entity type:Individual
Prefix:MS
First Name:RAIJANIECE
Middle Name:CENAE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:RAIJANIECE
Other - Middle Name:CENAE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LVN
Mailing Address - Street 1:3619 GLENNA CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-4041
Mailing Address - Country:US
Mailing Address - Phone:979-587-5170
Mailing Address - Fax:
Practice Address - Street 1:3619 GLENNA CT
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-4041
Practice Address - Country:US
Practice Address - Phone:979-587-5170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207949164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse