Provider Demographics
NPI:1548564008
Name:MANSFIELD, ROBIN EILEEN (APN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:EILEEN
Last Name:MANSFIELD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7133
Mailing Address - Country:US
Mailing Address - Phone:908-737-4883
Mailing Address - Fax:908-737-4894
Practice Address - Street 1:1000 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-7133
Practice Address - Country:US
Practice Address - Phone:908-737-4883
Practice Address - Fax:908-737-4894
Is Sole Proprietor?:No
Enumeration Date:2010-12-27
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00315200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily