MEDICARE: MRS. SONIA LYSETTE ROBINSON FNP-BC

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	5016197	NC

General Provider Information

NPI Number	:	1538899810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SONIA LYSETTE ROBINSON FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 98644
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27624-8644
Country	:	US
Telephone Number	:	919-274-2577
Fax Number	:

Provider Business Practice Location Address
First Line	:	6675 FALLS OF NEUSE RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6803
Country	:	US
Telephone Number	:	919-999-3604
Fax Number	:

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

Provider Enumeration Date	:	06/10/2022
Last Update Date	:	06/10/2022

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