Provider Demographics
NPI:1801163340
Name:ROBINSON, ANDREA KAREN (RN)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:KAREN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 NEW TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12182-1400
Mailing Address - Country:US
Mailing Address - Phone:518-233-6822
Mailing Address - Fax:518-235-3593
Practice Address - Street 1:55 NEW TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12182-1400
Practice Address - Country:US
Practice Address - Phone:518-233-6822
Practice Address - Fax:518-235-3593
Is Sole Proprietor?:No
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY489145-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool