Healthcare Provider Details

I. General information

NPI: 1205493509
Provider Name (Legal Business Name): ROBIN CAMERON RNC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2019
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 N REYNOLDS RD
WINSLOW ME
04901-0317
US

IV. Provider business mailing address

67 EUSTIS PKWY
WATERVILLE ME
04901-5173
US

V. Phone/Fax

Practice location:
  • Phone: 207-399-4391
  • Fax:
Mailing address:
  • Phone: 207-873-2136
  • Fax: 207-660-4529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN52750
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN52750
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN52750
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: