Healthcare Provider Details

I. General information

NPI: 1073409876
Provider Name (Legal Business Name): PRISCILLA ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR ST
HARTFORD CT
06106-3315
US

IV. Provider business mailing address

99 E RIVER DR FL 5
EAST HARTFORD CT
06108-7301
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-5000
  • Fax: 860-545-5066
Mailing address:
  • Phone: 860-282-0833
  • Fax: 866-623-8110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number153469
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: