MEDICARE: MS. ROBIN LYNN DONTA FNP-C

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	363LF0000X	Family Nurse Practitioner	201322	NC

General Provider Information

NPI Number	:	1134100183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROBIN LYNN DONTA FNP-C

Provider Business Mailing Address
First Line	:	2720 CRYSTAL OAKS LN
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-8975
Country	:	US
Telephone Number	:	919-562-4679
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 WASHINGTON AVE N
Second Line	:	SUITE 5000
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55401-1377
Country	:	US
Telephone Number	:	612-659-7111
Fax Number	:

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	07/08/2007

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