Provider Demographics
NPI:1740736297
Name:ETTER, ROBIN LEE (CNM)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LEE
Last Name:ETTER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Mailing Address - Street 1:640 S. STATE STREET
Mailing Address - Street 2:MAIL CODE 3055
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-480-1688
Mailing Address - Fax:302-480-9807
Practice Address - Street 1:101 WELLNESS WAY STE 300
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-4394
Practice Address - Country:US
Practice Address - Phone:302-424-6511
Practice Address - Fax:302-424-6513
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2024-02-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DELK-0010228367A00000X
MNR 156733-5367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife