MEDICARE: MONICA LATRICE ROBINSON

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	372600000X	Adult Companion

General Provider Information

NPI Number	:	1477404374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA LATRICE ROBINSON

Provider Business Mailing Address
First Line	:	10825 LORI KAYE DR
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72113-7813
Country	:	US
Telephone Number	:	501-366-4403
Fax Number	:

Provider Business Practice Location Address
First Line	:	10825 LORI KAYE DR
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72113-7813
Country	:	US
Telephone Number	:	501-366-4403
Fax Number	:

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

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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