Individual
MRS. MAXIE L ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2865 LYNCREST DR, NASHVILLE, TN 37214-3516
(615) 618-0890
Mailing address
2865 LYNCREST DR, NASHVILLE, TN 37214-3516
(615) 618-0890
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0
TN
172V00000X
Community Health Worker
Primary
0
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
MEDICARE
TN
05
—
UNKNOWN
—
TN
Enumeration date
11/10/2012
Last updated
11/10/2012
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