Provider Demographics
NPI:1841924610
Name:ROBITSON, ANDREA BRIANNE
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:BRIANNE
Last Name:ROBITSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 W 25TH ST APT 204
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3176
Mailing Address - Country:US
Mailing Address - Phone:216-334-9050
Mailing Address - Fax:
Practice Address - Street 1:1400 W 25TH ST APT 204
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3176
Practice Address - Country:US
Practice Address - Phone:216-334-9050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide