Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | VP003194U | PA |
NPI | 1053490284 |
---|---|
Provider Name | Robin Marie Haskell |
First Address | West Chester, PA 19380-4412 |
Second Address | West Chester, PA 19380-4412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 14/04/2014 |