Provider Demographics
NPI:1982340584
Name:MOUNTZ, ROBIN (RN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:MOUNTZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:MOUNTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 INDIAN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-3911
Mailing Address - Country:US
Mailing Address - Phone:413-841-4545
Mailing Address - Fax:
Practice Address - Street 1:24 INDIAN ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-3911
Practice Address - Country:US
Practice Address - Phone:413-841-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-07
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN276995163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health