Provider Demographics
NPI:1053351742
Name:ROBINSON, ESTHER MEMREROGE (NP)
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:MEMREROGE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5114 W 142ND ST
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-6608
Mailing Address - Country:US
Mailing Address - Phone:310-679-2841
Mailing Address - Fax:
Practice Address - Street 1:VA GREATER LOS ANGELES HEALTHCARE SYSTEM
Practice Address - Street 2:11301 WILSHIRE BLVD. BLDG. 213, RM 330 MAILCODE: 10C1
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073
Practice Address - Country:US
Practice Address - Phone:310-268-4282
Practice Address - Fax:310-268-4128
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily