Provider Demographics
NPI:1952011538
Name:ROBINSON, KASHA ROCKIEL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:KASHA
Middle Name:ROCKIEL
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 ALCHEMY WAY
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-7296
Mailing Address - Country:US
Mailing Address - Phone:443-653-4345
Mailing Address - Fax:
Practice Address - Street 1:8000 ALCHEMY WAY
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-7296
Practice Address - Country:US
Practice Address - Phone:443-653-4345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2022014336363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily