# MR. MARK B ROBEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1861511560
- **Gender:** Man
- **Credential:** CPNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 101.0058221 | VT | — |
| 363LP0200X | Pediatric Nurse Practitioner | 113855 | CT | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 230954 | MA | — |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 01/21/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 101.0058221 | ADVANCED PRACTICE RN \# | VT |
| 01 | — | 20051093 | PNCB CERTIFICATION NUMBER | — |
| 01 | — | 230954 | ADVANCED PRACTICE RN NUMB | MA |