Individual
MS. ROBIN F MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
447 MERIDEN RD, WATERBURY, CT 06705
(203) 574-5650
(203) 574-7815
Mailing address
447 MERIDEN RD, WATERBURY, CT 06705
(203) 574-5650
(203) 574-7815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002109
CT
363LF0000X
Family Nurse Practitioner
Primary
002109
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004216075
—
CT
01
—
400002109CT03
ANTHEM BLUE CROSS
CT
Enumeration date
07/31/2006
Last updated
12/18/2018
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