MEDICARE: TAMARA DIONNE ROBINSON REGISTERED NURSE

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	164W00000X	Licensed Practical Nurse	PN150237	OH
2	163W00000X	Registered Nurse	RN489200	OH

General Provider Information

NPI Number	:	1366792574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA DIONNE ROBINSON REGISTERED NURSE

Provider Business Mailing Address
First Line	:	909 YORKHAVEN RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-1227
Country	:	US
Telephone Number	:	513-400-9020
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 YORKHAVEN RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-1227
Country	:	US
Telephone Number	:	513-400-9020
Fax Number	:

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

Provider Enumeration Date	:	09/14/2012
Last Update Date	:	03/19/2025

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