MEDICARE: MS. DONNA JEAN ROBINSON CRNA

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	367500000X	Certified Registered Nurse Anesthetist	RN00058089	WA

General Provider Information

NPI Number	:	1497713366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DONNA JEAN ROBINSON CRNA

Provider Business Mailing Address
First Line	:	11215 MARINE VIEW DR SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98146-1621
Country	:	US
Telephone Number	:	206-439-9735
Fax Number	:	206-248-4327

Provider Business Practice Location Address
First Line	:	11215 MARINE VIEW DR SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98146-1621
Country	:	US
Telephone Number	:	206-439-9735
Fax Number	:	206-248-4327

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	09/23/2009

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