Doctor Name: | ROBIN G MIDOUHAS |
NPI Number: | 1235164823 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 26NC05720000 |
Business Practice Address: | 81 Nautilus Dr Cn 2025 Manahawkin, NJ - 080502448 |
Business Phone Number: | 6095975327 |
Business Fax Number: | 6095976684 |
Mailing Address: | 81 Nautilus Dr, MANAHAWKIN |
State: | NJ |
Postal Code: | 080502448 |
Phone Number: | 6095975327 |
Fax Number: | 6095976684 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 03/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | 26NC05720000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |