Provider Demographics
NPI:1851301741
Name:FOLEY, ROBIN JANE
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:JANE
Last Name:FOLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39800 BOB HOPE DR
Mailing Address - Street 2:STE C
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3920
Mailing Address - Country:US
Mailing Address - Phone:760-568-3613
Mailing Address - Fax:760-340-5189
Practice Address - Street 1:39800 BOB HOPE DR
Practice Address - Street 2:STE C
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3920
Practice Address - Country:US
Practice Address - Phone:760-568-3613
Practice Address - Fax:760-340-5189
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12602363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAORN306006Medicaid
CAORN306006Medicaid
CAZZZ21291ZMedicare ID - Type Unspecified