MEDICARE: DR. STEPHANIE MARIE ROBINSON CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP500021497	DC

General Provider Information

NPI Number	:	1053278291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE MARIE ROBINSON CRNP

Provider Business Mailing Address
First Line	:	9 LATIA CT
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-1265
Country	:	US
Telephone Number	:	864-482-1919
Fax Number	:	667-256-8273

Provider Business Practice Location Address
First Line	:	1726 WHITEHEAD RD
Second Line	:
City	:	WOODLAWN
State	:	MD
Zip	:	21207-4003
Country	:	US
Telephone Number	:	410-265-8737
Fax Number	:	410-265-8737

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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