Provider Demographics
NPI:1801561907
Name:ROBINSON, MARIE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 CARVELL RD
Mailing Address - Street 2:
Mailing Address - City:CHAPMAN
Mailing Address - State:ME
Mailing Address - Zip Code:04757-4802
Mailing Address - Country:US
Mailing Address - Phone:207-551-0024
Mailing Address - Fax:
Practice Address - Street 1:708 CARVELL RD
Practice Address - Street 2:
Practice Address - City:CHAPMAN
Practice Address - State:ME
Practice Address - Zip Code:04757-4802
Practice Address - Country:US
Practice Address - Phone:207-551-0024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN65145163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant