Provider Demographics
NPI:1346431475
Name:ROBLEDO, LUZ (PNP-BC)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:
Last Name:ROBLEDO
Suffix:
Gender:F
Credentials:PNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 JESSE HILL JR DR SE FL 4
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3032
Mailing Address - Country:US
Mailing Address - Phone:404-785-9930
Mailing Address - Fax:404-785-9508
Practice Address - Street 1:35 JESSE HILL JR DR SE FL 4
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3032
Practice Address - Country:US
Practice Address - Phone:404-785-9930
Practice Address - Fax:404-785-9508
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN104552363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics