Healthcare Provider Details

I. General information

NPI: 1992428544
Provider Name (Legal Business Name): ROBIN LYNN PASQUALE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 JEFFERSON AVE
POINT PLEASANT WV
25550-1528
US

IV. Provider business mailing address

2410 JEFFERSON AVE
POINT PLEASANT WV
25550-1528
US

V. Phone/Fax

Practice location:
  • Phone: 304-675-7400
  • Fax:
Mailing address:
  • Phone: 304-675-7400
  • Fax: 304-675-7401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number57960
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: