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NPI Code Detail

MEDICARE: DR. MAMILDA ROBINSON DNP, APN, PMHNP-BC

MEDICARE:  DR. MAMILDA  ROBINSON  DNP, APN, PMHNP-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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ00457900NJ

General Provider Information

NPI Number : 1831513829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAMILDA ROBINSON DNP, APN, PMHNP-BC
Provider Business Mailing Address
First Line : 506 HAMBURG TPKE STE 209
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 506 HAMBURG TPKE STE 209
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2069
Country : US
Telephone Number : 973-720-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2014
Last Update Date : 04/17/2020

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Directions to “ DR. MAMILDA ROBINSON DNP, APN, PMHNP-BC” Practice Location

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