Healthcare Provider Details

I. General information

NPI: 1770708950
Provider Name (Legal Business Name): ROBIN ROBINSON MAGUIRE APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 HAYLOFT CIR
WILMINGTON DE
19808-1982
US

IV. Provider business mailing address

22 HAYLOFT CIR
WILMINGTON DE
19808-1982
US

V. Phone/Fax

Practice location:
  • Phone: 302-235-5781
  • Fax:
Mailing address:
  • Phone: 302-235-5781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberLM0000102
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: