Provider Demographics
NPI:1386223238
Name:ROBINSON, MARY KAELYNN (CRNP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:KAELYNN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:KAELYNN
Other - Last Name:MUNCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:1629 4TH AVE S
Mailing Address - Street 2:
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-1616
Mailing Address - Country:US
Mailing Address - Phone:205-514-4458
Mailing Address - Fax:
Practice Address - Street 1:1629 4TH AVE S
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-1616
Practice Address - Country:US
Practice Address - Phone:205-514-4458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-07
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-135419363L00000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse