Healthcare Provider Details

I. General information

NPI: 1790127678
Provider Name (Legal Business Name): ROBYN DELAINE MCKINNEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBYN DELAINE WILLIS-LEE RN

II. Dates (important events)

Enumeration Date: 07/22/2013
Last Update Date: 07/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1533 ARTMAN AVE
AKRON OH
44313-7407
US

IV. Provider business mailing address

1533 ARTMAN AVE
AKRON OH
44313-7407
US

V. Phone/Fax

Practice location:
  • Phone: 330-865-5633
  • Fax:
Mailing address:
  • Phone: 330-865-5633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number281655
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: