Healthcare Provider Details

I. General information

NPI: 1811281512
Provider Name (Legal Business Name): ROBIN BILAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2011
Last Update Date: 12/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HOSPITAL RD
BROOKVILLE PA
15825-1367
US

IV. Provider business mailing address

100 HOSPITAL RD
BROOKVILLE PA
15825-1367
US

V. Phone/Fax

Practice location:
  • Phone: 814-849-2312
  • Fax:
Mailing address:
  • Phone: 814-849-0990
  • Fax: 814-849-0992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP011387
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: