Healthcare Provider Details

I. General information

NPI: 1588680839
Provider Name (Legal Business Name): ELIZABETH J ROBINSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 02/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 COLCHESTER AVE
BURLINGTON VT
05401-1473
US

IV. Provider business mailing address

7 PERKINS DR
ESSEX JUNCTION VT
05452-3859
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-8200
  • Fax: 802-847-8742
Mailing address:
  • Phone: 802-879-0757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number1010024913
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1010024913
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: