Provider Demographics
NPI:1821495953
Name:ROBB, EMILY ELIZABETH (ACNP)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:ELIZABETH
Last Name:ROBB
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 WIBLE RD STE 14
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-4734
Mailing Address - Country:US
Mailing Address - Phone:661-835-1240
Mailing Address - Fax:661-835-4667
Practice Address - Street 1:2400 WIBLE RD STE 14
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-4734
Practice Address - Country:US
Practice Address - Phone:661-835-1240
Practice Address - Fax:661-835-4667
Is Sole Proprietor?:No
Enumeration Date:2014-12-04
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001761363LA2100X
NVAPRN001963363LA2100X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
13607430OtherCAQH