Healthcare Provider Details

I. General information

NPI: 1942094669
Provider Name (Legal Business Name): TIFFANY LYNNE ROBINSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E 118TH ST
CLEVELAND OH
44106-1454
US

IV. Provider business mailing address

1500 E 118TH ST
CLEVELAND OH
44106-1454
US

V. Phone/Fax

Practice location:
  • Phone: 216-370-0760
  • Fax:
Mailing address:
  • Phone: 216-370-0760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License NumberRN.542137
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberRN.542137
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: