Provider Demographics
NPI:1396919379
Name:MARKS, ROBIN ANNETTE (RN)
Entity type:Individual
Prefix:MISS
First Name:ROBIN
Middle Name:ANNETTE
Last Name:MARKS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37920 SUGAR RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-3548
Mailing Address - Country:US
Mailing Address - Phone:440-452-4387
Mailing Address - Fax:
Practice Address - Street 1:37920 SUGAR RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-3548
Practice Address - Country:US
Practice Address - Phone:440-452-4387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-21
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 280699163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health