Individual
MARLINA DIANE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2401 W HORIZON RIDGE PKWY, STE 100, HENDERSON, NV 89052-2706
(702) 385-7001
(702) 385-7002
Mailing address
861 CORONADO CENTER DR STE 211, HENDERSON, NV 89052-3992
(702) 385-7001
(702) 385-7002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
225669
AK
363A00000X
Physician Assistant
Primary
PA861
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306032321
—
NV
01
—
DH0833
RAILROAD MEDICARE GROUP PTAN
NV
01
—
P00794969
RAILROAD MEDICARE
NV
Enumeration date
09/24/2007
Last updated
11/14/2024
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