Provider Demographics
NPI:1235957879
Name:MCCLANAHAN, ROBIN LYNN (RN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:MCCLANAHAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 LOMBARDY DR
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017-1059
Mailing Address - Country:US
Mailing Address - Phone:440-655-0327
Mailing Address - Fax:
Practice Address - Street 1:369 LOMBARDY DR
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017-1059
Practice Address - Country:US
Practice Address - Phone:440-655-0327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH283591163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse