Provider Demographics
NPI:1861280208
Name:ROBINSON, TINA MARIE (TINA ROBINSON LPN)
Entity type:Individual
Prefix:MS
First Name:TINA
Middle Name:MARIE
Last Name:ROBINSON
Suffix:
Gender:
Credentials:TINA ROBINSON LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3189 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-2343
Mailing Address - Country:US
Mailing Address - Phone:313-687-6711
Mailing Address - Fax:
Practice Address - Street 1:3189 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-2343
Practice Address - Country:US
Practice Address - Phone:313-687-6711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X, 172V00000X
MI47031167999164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No171400000XOther Service ProvidersHealth & Wellness Coach
No172V00000XOther Service ProvidersCommunity Health Worker