Provider Demographics
NPI:1902949472
Name:COWPER, ROBIN L (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:L
Last Name:COWPER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 JEFFERSON RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3347
Mailing Address - Country:US
Mailing Address - Phone:508-520-3175
Mailing Address - Fax:
Practice Address - Street 1:41 JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3347
Practice Address - Country:US
Practice Address - Phone:508-520-3175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA208827305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization