Healthcare Provider Details

I. General information

NPI: 1508407206
Provider Name (Legal Business Name): HEATHER ERIN ROBINETTE WHNP- BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER ERIN SADIK

II. Dates (important events)

Enumeration Date: 10/03/2019
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 YOUNG AVE STE 245B
MOORESTOWN NJ
08057-3132
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-727-0900
  • Fax: 856-231-8428
Mailing address:
  • Phone: 856-355-0340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberLH-0000238
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP024097
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ01376300
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0052329
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: