Provider Demographics
NPI:1164827770
Name:TAMAS, ROBIN ANN (RN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANN
Last Name:TAMAS
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 1:4762 SUTTER GATE AVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4555
Mailing Address - Country:US
Mailing Address - Phone:925-699-1164
Mailing Address - Fax:
Practice Address - Street 1:4762 SUTTER GATE AVE
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4555
Practice Address - Country:US
Practice Address - Phone:925-699-1164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA476037163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA476037OtherREGISTERED NURSE