Individual
MRS. DEENA MARIA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4150 DEPUTY BILL CANTRELL MEMORIAL RD, STE 260, CUMMING, GA 30040
(770) 292-3045
(770) 292-3046
Mailing address
1400 NORTHSIDE FORSYTH DR, STE 240, CUMMING, GA 30041-7668
(770) 292-3045
(770) 292-3046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN195029
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003129492B
—
GA
01
—
RN195029
NURSE PRACT. LICENSE
GA
Enumeration date
04/02/2012
Last updated
03/13/2018
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