Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | SP021489 | PA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | F342681-1 | NY |
NPI | 1083104418 |
---|---|
Provider Name | Stephanie Lauren Robbins |
First Address | Holland, PA 18966-5301 |
Second Address | Philadelphia, PA 19104-4395 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2018 |
Last Update Date | 24/04/2020 |