Provider Demographics
NPI:1740494947
Name:TWINING, ROBIN M (LPN)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:M
Last Name:TWINING
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 JONES RD
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44090-9509
Mailing Address - Country:US
Mailing Address - Phone:440-647-1062
Mailing Address - Fax:
Practice Address - Street 1:340 JONES RD
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:OH
Practice Address - Zip Code:44090-9509
Practice Address - Country:US
Practice Address - Phone:440-647-1062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.069632164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2494966OtherODJFS NURSING PROVIDER #