Healthcare Provider Details

I. General information

NPI: 1649952060
Provider Name (Legal Business Name): NAKIAA ROBINSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2023
Last Update Date: 08/04/2023
Certification Date: 08/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 BRECKSVILLE RD
INDEPENDENCE OH
44131-5032
US

IV. Provider business mailing address

35805 AURORA RD
SOLON OH
44139-3835
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-4663
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number400953
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: