Healthcare Provider Details

I. General information

NPI: 1851087027
Provider Name (Legal Business Name): MARY ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 MILL ST BLDG E
HANOVER MA
02339-1641
US

IV. Provider business mailing address

PO BOX 68
S WEYMOUTH MA
02190-0001
US

V. Phone/Fax

Practice location:
  • Phone: 781-826-2131
  • Fax:
Mailing address:
  • Phone: 780-803-2786
  • Fax: 781-812-1631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN2292875
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: