Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 176930 | MA |
NPI | 1003953415 |
---|---|
Provider Name | Barbara Jean Robinson |
First Address | Hyannis, MA 02601-5133 |
Second Address | Cotuit, MA 02635-3659 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 24/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q34713 | (02) | MA |