Provider Demographics
NPI:1740731827
Name:WITKOWSKI, ROBBIN (CRNP, FNP-C)
Entity type:Individual
Prefix:
First Name:ROBBIN
Middle Name:
Last Name:WITKOWSKI
Suffix:
Gender:F
Credentials:CRNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 OSBORNE PKWY
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2757
Mailing Address - Country:US
Mailing Address - Phone:443-417-3979
Mailing Address - Fax:
Practice Address - Street 1:2 COLGATE DR
Practice Address - Street 2:STE. 102
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-2624
Practice Address - Country:US
Practice Address - Phone:410-420-0161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR199217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily