MEDICARE: MRS. ROBIN LYNN WARREN-DORSEY CRNP, FNP B-C

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	363LF0000X	Family Nurse Practitioner	R165462	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952626285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROBIN LYNN WARREN-DORSEY CRNP, FNP B-C

Provider Business Mailing Address
First Line	:	1511 WILD CRANBERRY DR
Second Line	:
City	:	CROWNSVILLE
State	:	MD
Zip	:	21032-2018
Country	:	US
Telephone Number	:	410-209-7041
Fax Number	:

Provider Business Practice Location Address
First Line	:	1808 WOODLAWN DR
Second Line	:	STE H
City	:	BALTIMORE
State	:	MD
Zip	:	21207-4023
Country	:	US
Telephone Number	:	410-298-0734
Fax Number	:	410-510-1354

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

Provider Enumeration Date	:	03/30/2010
Last Update Date	:	04/01/2021

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