Provider Demographics
NPI:1043465024
Name:HAUPRICH, ROBIN SUZANNE (RN)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:SUZANNE
Last Name:HAUPRICH
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 1:1113 LORRAINE DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-3209
Mailing Address - Country:US
Mailing Address - Phone:530-222-1184
Mailing Address - Fax:
Practice Address - Street 1:1716 COURT ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1762
Practice Address - Country:US
Practice Address - Phone:530-223-2332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA584794163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse