Healthcare Provider Details

I. General information

NPI: 1568459733
Provider Name (Legal Business Name): DARBI NICHOLE ROBINSON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 03/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST NEONATOLOGY DEPARTMENT
BALTIMORE MD
21201-1544
US

IV. Provider business mailing address

22 S GREENE ST NEONATOLOGY DEPARTMENT
BALTIMORE MD
21201-1544
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-6717
  • Fax: 410-543-7586
Mailing address:
  • Phone: 410-328-6717
  • Fax: 410-543-7586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR154915
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: