Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | H161777 | IA |
NPI | 1033710306 |
---|---|
Provider Name | Melissa Ann Robinson |
First Address | Muscatine, IA 52761-3433 |
Second Address | Muscatine, IA 52761-3433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2020 |
Last Update Date | 21/12/2020 |