Healthcare Provider Details

I. General information

NPI: 1245309509
Provider Name (Legal Business Name): KATHIE ROBBINS CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: J&G SUGRICAL FIRST ASSISTANT

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SHERIDAN ST
WARETOWN NJ
08758-2301
US

IV. Provider business mailing address

84 SHERIDAN ST
WARETOWN NJ
08758-2301
US

V. Phone/Fax

Practice location:
  • Phone: 732-600-8693
  • Fax: 609-693-9388
Mailing address:
  • Phone: 732-600-8693
  • Fax: 609-693-9388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number26NO04889900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: