MEDICARE: ROBIN PATRICE CAWLFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	0024181310	VA

General Provider Information

NPI Number	:	1477135986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN PATRICE CAWLFIELD

Provider Business Mailing Address
First Line	:	2755 HARTLAND RD STE 100
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-3544
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2755 HARTLAND RD STE 100
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-3544
Country	:	US
Telephone Number	:	601-550-7811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2021
Last Update Date	:	04/23/2021

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