Provider Demographics
NPI:1730789181
Name:ROBINSON, DINESHA (RN, MSN, AGNP-C)
Entity type:Individual
Prefix:
First Name:DINESHA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN, MSN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4531 BELMONT AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-1041
Mailing Address - Country:US
Mailing Address - Phone:330-314-6374
Mailing Address - Fax:
Practice Address - Street 1:4531 BELMONT AVE STE 9
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1041
Practice Address - Country:US
Practice Address - Phone:888-227-6543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0027540363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner