Healthcare Provider Details

I. General information

NPI: 1457850620
Provider Name (Legal Business Name): ERIN NICOLE ROBINSON CM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 08/26/2020
Certification Date: 08/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 W CEDAR AVE
BARNSDALL OK
74002-0671
US

IV. Provider business mailing address

907 W CADDO ST
CLEVELAND OK
74020-4201
US

V. Phone/Fax

Practice location:
  • Phone: 918-636-2210
  • Fax:
Mailing address:
  • Phone: 918-308-5511
  • Fax: 918-205-2701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: