Individual
IVAN L ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
4201 30TH ST, MOUNT RAINIER, MD 20712-1751
(202) 652-0536
(202) 536-4369
Mailing address
4201 30TH ST, MT RAINER, MD 20712
(202) 652-0536
(202) 536-4369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R197474
MD
Other
Enumeration date
09/13/2006
Last updated
07/21/2022
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