Provider Demographics
NPI:1801695242
Name:PINKLEY, ROBIN RAQUEL (RN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:RAQUEL
Last Name:PINKLEY
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 PINKLEY RD
Mailing Address - Street 2:
Mailing Address - City:ELM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72762-9177
Mailing Address - Country:US
Mailing Address - Phone:479-871-8730
Mailing Address - Fax:
Practice Address - Street 1:108 PINKLEY RD
Practice Address - Street 2:
Practice Address - City:ELM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72762-9177
Practice Address - Country:US
Practice Address - Phone:479-871-8730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR072624163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse