Robin A Chezick, B.S.N.

Individual provider Active NPI Registered Nurse · Cheboygan, MI

NPI 1295020931 · NPPES record last updated Jun 22, 2011

Key facts

NPI
1295020931
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
4704123376 (MI)
Practice address
761 Lafayette Ave
Cheboygan, MI 49721-2117
Phone
(231) 627-7157
Fax
(231) 597-8202
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704123376MIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704123376 MI Yes

Addresses

Primary practice location

761 Lafayette Ave
Cheboygan, MI 49721-2117

Mailing address

761 Lafayette Ave
Cheboygan, MI 49721-2117
Phone (231) 627-7157

Other identifiers

IdentifierTypeStateIssuer
382527255OtherMITAX IDENTIFICATION NUMBER

Other providers in Cheboygan, MI

All providers in Cheboygan, MI · Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.