Provider Demographics
NPI:1689433443
Name:NORTHERN, ROBRIANA TRINELL (MEDICAL BILLING)
Entity Type:Individual
Prefix:
First Name:ROBRIANA
Middle Name:TRINELL
Last Name:NORTHERN
Suffix:
Gender:F
Credentials:MEDICAL BILLING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44407 BENALD ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-3440
Mailing Address - Country:US
Mailing Address - Phone:650-420-9144
Mailing Address - Fax:
Practice Address - Street 1:43731 15TH ST W STE D
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4785
Practice Address - Country:US
Practice Address - Phone:661-949-8111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2353261744R1103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1103XOther Service ProvidersSpecialistResearch Data Abstracter/Coder