Mccormack, Robin F
Mccormack, Robin F is an individual health care provider with primary practice located at 447 Meriden Rd , Waterbury CT 06705. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mccormack, Robin F can be contacted via phone (203) 574-5650.Contact Information
Primary practice address
447 Meriden Rd
Waterbury CT 06705
Phone: (203) 574-5650
Fax: (203) 574-7815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 002109 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 002109 | Connecticut |
Profile Details
| NPI number | 1215942636 |
|---|---|
| LBN Legal business name | Mccormack, Robin F |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Dec 18th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215942636 | NPPES |
| Connecticut | MEDICAID | 004216075 | |
| Connecticut | Other | 400002109CT03 |
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