Healthcare Provider Details

I. General information

NPI: 1235631870
Provider Name (Legal Business Name): SAMANTHA L ROBINSON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2018
Last Update Date: 02/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 PLAZA DR STE 290
BELLE VERNON PA
15012-4019
US

IV. Provider business mailing address

800 PLAZA DR STE 230
BELLE VERNON PA
15012-4019
US

V. Phone/Fax

Practice location:
  • Phone: 724-379-6850
  • Fax: 678-553-0330
Mailing address:
  • Phone: 724-379-4011
  • Fax: 724-379-4354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberSP018079
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: