Provider Demographics
NPI:1841977741
Name:ROBINSON, AYANNA DALIA (FNP-C)
Entity type:Individual
Prefix:
First Name:AYANNA
Middle Name:DALIA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 CALVERT ST APT 208
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-4676
Mailing Address - Country:US
Mailing Address - Phone:703-606-4222
Mailing Address - Fax:
Practice Address - Street 1:7940 WILLIAMS POND LN STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-8410
Practice Address - Country:US
Practice Address - Phone:704-757-7779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018382363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily