Healthcare Provider Details

I. General information

NPI: 1891411054
Provider Name (Legal Business Name): MARLENE O'HARA ROBBINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2022
Last Update Date: 10/18/2022
Certification Date: 10/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 HUNTER LN
CAMP HILL PA
17011-2499
US

IV. Provider business mailing address

210 HUNTER AVE
STATE COLLEGE PA
16801-6947
US

V. Phone/Fax

Practice location:
  • Phone: 800-748-3243
  • Fax:
Mailing address:
  • Phone: 717-829-4584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number290592
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: