Provider Demographics
NPI:1912597386
Name:STREET, ROBIN AKERS (RN)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:AKERS
Last Name:STREET
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:RENAE
Other - Last Name:AKERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:COUNCIL OF THE SOUTHERN MOUNTAINS
Mailing Address - Street 2:148 MCDOWELL STREET
Mailing Address - City:WELCH
Mailing Address - State:WV
Mailing Address - Zip Code:24801
Mailing Address - Country:US
Mailing Address - Phone:304-436-6800
Mailing Address - Fax:304-436-6803
Practice Address - Street 1:COUNCIL OF THE SOUTHERN MOUNTAINS
Practice Address - Street 2:148 MCDOWELL STREET
Practice Address - City:WELCH
Practice Address - State:WV
Practice Address - Zip Code:24801
Practice Address - Country:US
Practice Address - Phone:304-436-6800
Practice Address - Fax:304-436-6803
Is Sole Proprietor?:No
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001145462163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse