Provider Demographics
NPI:1770783227
Name:ROBINSON, GWENDOLYN MARIE (RN REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:GWENDOLYN
Middle Name:MARIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3572 RUTH RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-8828
Mailing Address - Country:US
Mailing Address - Phone:740-528-2727
Mailing Address - Fax:740-528-2727
Practice Address - Street 1:3572 RUTH RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-8828
Practice Address - Country:US
Practice Address - Phone:740-528-2727
Practice Address - Fax:740-528-2727
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN227896163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2393182OtherOHIO DEPT OF JOB AND FAMI