Basic Information
Provider Information
NPI: 1538731096
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROBINSON
FirstName: BRITTANY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 70 E HORIZON RIDGE PKWY STE 100
Address2:  
City: HENDERSON
State: NV
PostalCode: 890027936
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 70 E HORIZON RIDGE PKWY STE 100
Address2:  
City: HENDERSON
State: NV
PostalCode: 890027936
CountryCode: US
TelephoneNumber: 7026443600
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2021
LastUpdateDate: 07/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
372600000X NVN Nursing Service Related ProvidersAdult Companion 
3747A0650X NVN Nursing Service Related ProvidersTechnicianAttendant Care Provider
3747P1801X NVN Nursing Service Related ProvidersTechnicianPersonal Care Attendant
376J00000X NVN Nursing Service Related ProvidersHomemaker 
372500000X  Y Nursing Service Related ProvidersChore Provider 

No ID Information.


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