Provider Demographics
NPI:1831629641
Name:LANDON, ROBIN LYNN (CNP)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LYNN
Last Name:LANDON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:LYNN
Other - Last Name:WINEGARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1210 GEMINI PL STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-6110
Mailing Address - Country:US
Mailing Address - Phone:614-262-4263
Mailing Address - Fax:
Practice Address - Street 1:1210 GEMINI PL STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-6110
Practice Address - Country:US
Practice Address - Phone:614-262-4263
Practice Address - Fax:614-262-0822
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-14
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020960363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty