Basic Information
| Provider Information | |||||||||
| NPI: | 1447448071 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COLEMAN | ||||||||
| FirstName: | ROBIN | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | APNP, BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 339 REED AVE | ||||||||
| Address2: | |||||||||
| City: | MANITOWOC | ||||||||
| State: | WI | ||||||||
| PostalCode: | 542202020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9203208600 | ||||||||
| FaxNumber: | 9203208662 | ||||||||
| Practice Location | |||||||||
| Address1: | 339 REED AVE | ||||||||
| Address2: | |||||||||
| City: | MANITOWOC | ||||||||
| State: | WI | ||||||||
| PostalCode: | 542202020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9203208600 | ||||||||
| FaxNumber: | 9203208662 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2007 | ||||||||
| LastUpdateDate: | 10/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SP0808X | 746-033 | WI | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psych/Mental Health |
No ID Information.