Provider Demographics
NPI:1952626285
Name:WARREN-DORSEY, ROBIN LYNN (CRNP, FNP B-C)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LYNN
Last Name:WARREN-DORSEY
Suffix:
Gender:F
Credentials:CRNP, FNP B-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 WILD CRANBERRY DR
Mailing Address - Street 2:
Mailing Address - City:CROWNSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21032-2018
Mailing Address - Country:US
Mailing Address - Phone:410-209-7041
Mailing Address - Fax:
Practice Address - Street 1:1808 WOODLAWN DR
Practice Address - Street 2:STE H
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-4023
Practice Address - Country:US
Practice Address - Phone:410-298-0734
Practice Address - Fax:410-510-1354
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR165462363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD056641100Medicaid