Provider Demographics
NPI:1437572278
Name:WEST-ROBB, MARY ANN (CNA)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ANN
Last Name:WEST-ROBB
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 RESERVE WAY
Mailing Address - Street 2:302
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-3809
Mailing Address - Country:US
Mailing Address - Phone:239-333-6191
Mailing Address - Fax:
Practice Address - Street 1:1150 RESERVE WAY
Practice Address - Street 2:302
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-3809
Practice Address - Country:US
Practice Address - Phone:239-333-6191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA229887376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide