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Individual

ROBIN MARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
6847 N. CHESTNUT STREET, SUITE 310, RAVENNA, OH 44266
(330) 296-2819
(330) 296-9503
Mailing address
2790 SILVER FOX DR. SW, WARREN, OH 44481-9236
(330) 824-3296

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA 12302-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
COA-12302-NP
COA NP
OH
01
RN-193331
RN LICENSE
OH
Enumeration date
09/27/2011
Last updated
09/10/2013
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