Provider Demographics
NPI:1487362265
Name:ROBINSON, DANIELLE DANITA (CRNP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:DANITA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4012 SANLEE RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-4027
Mailing Address - Country:US
Mailing Address - Phone:443-801-4691
Mailing Address - Fax:
Practice Address - Street 1:1105 N POINT BLVD STE 321
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3472
Practice Address - Country:US
Practice Address - Phone:410-517-7060
Practice Address - Fax:443-407-2942
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2023-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR145880363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily