Individual
MS. PAMELA NICHOLS ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
404 NW HALL OF FAME DR, LAKE CITY, FL 32055-4833
(386) 487-3930
Mailing address
2820 1ST AVE, APT. A, FERNANDINA BEACH, FL 32034-2344
(404) 275-0768
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3278022
FL
367500000X
Certified Registered Nurse Anesthetist
RN060719
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194713727
TRICARE
FL
05
—
307618100
—
FL
01
—
G3385
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
10/07/2005
Last updated
01/25/2016
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