Provider Demographics
NPI:1750334728
Name:HART, ROBIN ANN (CRNP)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:ANN
Last Name:HART
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2138 MENDON RD STE 101B
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-3832
Mailing Address - Country:US
Mailing Address - Phone:401-305-7604
Mailing Address - Fax:877-931-4522
Practice Address - Street 1:2138 MENDON RD STE 101B
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-3832
Practice Address - Country:US
Practice Address - Phone:401-305-7604
Practice Address - Fax:877-931-4522
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN00022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI405245OtherBLUE CHIP
RI9002819Medicaid
RI28198OtherBC/BS
RI222921474OtherUNITED HEALTH
RI63200Medicare UPIN
RI9002819Medicaid