Provider Demographics
NPI:1548613177
Name:GREB, ROBIN MARY (CNP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:MARY
Last Name:GREB
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:MARY
Other - Last Name:AREL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:PO BOX 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:
Practice Address - Street 1:27871 MEDICAL CENTER RD STE 200
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6406
Practice Address - Country:US
Practice Address - Phone:949-364-5090
Practice Address - Fax:949-542-5427
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95012257363L00000X
MARN2273400363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care