Provider Demographics
NPI:1487885729
Name:WILSON-ROBINSON, ANGELIA LYNETTA (RN)
Entity type:Individual
Prefix:MR
First Name:ANGELIA
Middle Name:LYNETTA
Last Name:WILSON-ROBINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:4323 EAGLE ROCK BLVD
Mailing Address - Street 2:APT 423
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-3291
Mailing Address - Country:US
Mailing Address - Phone:323-219-4936
Mailing Address - Fax:123-456-7890
Practice Address - Street 1:4323 EAGLE ROCK BLVD
Practice Address - Street 2:APT 423
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-3291
Practice Address - Country:US
Practice Address - Phone:323-219-4936
Practice Address - Fax:123-456-7890
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA595911163WE0003X
GA144341163WE0003X
TX765282163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency