Doctor Name: | MS. ROBIN E. PORGES |
NPI Number: | 1477599421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-BC, CADAC-II |
License Number: | RN-PC146031 |
Business Practice Address: | 89 Main Street Suite 203 Medway, MA - 02053 |
Business Phone Number: | 5085338868 |
Business Fax Number: | 5085338867 |
Mailing Address: | 89 Main Street, Suite 203 MEDWAY |
State: | MA |
Postal Code: | 02053 |
Phone Number: | 5085338868 |
Fax Number: | 5085338867 |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 07/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | RN-PC146031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |