Healthcare Provider Details

I. General information

NPI: 1689205817
Provider Name (Legal Business Name): DANA NOELLE ROBINSON-HARGROVE MSN, APRN, NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2020
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ERWIN RD
DURHAM NC
27705-4699
US

IV. Provider business mailing address

616 IVY ARBOR WAY
HOLLY SPRINGS NC
27540-4814
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-5551
  • Fax: 919-681-7770
Mailing address:
  • Phone: 301-219-6832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number5012763
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: