MEDICARE: KRISTINA BRITTON ROBINSON NP-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	363L00000X	Nurse Practitioner	5008562	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245417682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA BRITTON ROBINSON NP-C

Provider Business Mailing Address
First Line	:	2555 COURT DR STE 450
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-2191
Country	:	US
Telephone Number	:	704-671-7652
Fax Number	:	704-671-7696

Provider Business Practice Location Address
First Line	:	2391 COURT DR STE 105
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-2197
Country	:	US
Telephone Number	:	704-671-7390
Fax Number	:

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

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	10/14/2022

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