Provider Demographics
NPI:1376787259
Name:TOURIGIAN, ROBIN (APN)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:
Last Name:TOURIGIAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RT 130 & I 295 SOUTH
Mailing Address - Street 2:SUNOCO EAGLE POINT REFINERY MEDICAL
Mailing Address - City:WESTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08093-1000
Mailing Address - Country:US
Mailing Address - Phone:856-686-3880
Mailing Address - Fax:866-749-9074
Practice Address - Street 1:1240 CROWN POINT ROAD
Practice Address - Street 2:SUNOCO EAGLE POINT REFINERY MEDICAL
Practice Address - City:WEST DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08096-1000
Practice Address - Country:US
Practice Address - Phone:856-686-3880
Practice Address - Fax:866-749-9074
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN05805900363LF0000X, 363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NN05805900OtherLICENSE