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NPI Code Detail

MEDICARE: ERICA DANIELLE ROBBINS NP

MEDICARE: ERICA DANIELLE ROBBINS NP
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
1363L00000XNurse Practitioner5007712NC
2363LF0000XFamily Nurse Practitioner5007712NC

General Provider Information

NPI Number : 1720461544
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA DANIELLE ROBBINS NP
Provider Business Mailing Address
First Line : PO BOX 751803
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1803
Country : US
Telephone Number : 336-721-2375
Fax Number : 336-721-2394
Provider Business Practice Location Address
First Line : 390 W SALEM AVE
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27101-5861
Country : US
Telephone Number : 336-721-2375
Fax Number : 336-721-2394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2015
Last Update Date : 12/07/2022

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