Provider Demographics
NPI:1790812782
Name:ROBBINS, DIANE E (NP, MSN)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:E
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:NP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 EDDY ST
Mailing Address - Street 2:HOUSING AND URBAN HEALTH CLINIC
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-2716
Mailing Address - Country:US
Mailing Address - Phone:415-353-5042
Mailing Address - Fax:415-292-5048
Practice Address - Street 1:234 EDDY ST
Practice Address - Street 2:HOUSING AND URBAN HEALTH CLINIC
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2716
Practice Address - Country:US
Practice Address - Phone:415-353-5042
Practice Address - Fax:415-292-5048
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN563421163WP2201X
CANPF11437363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
065748OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
Q40313Medicare UPIN