Provider Demographics
NPI:1134805351
Name:ROBINSON, JULIANNE BORNIA (CPM, LM)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:BORNIA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:MS
Other - First Name:JULIANNE
Other - Middle Name:BORNIA
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3104 W KOOTENAI ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-2329
Mailing Address - Country:US
Mailing Address - Phone:951-640-7727
Mailing Address - Fax:
Practice Address - Street 1:4041 S ARGONAUT AVE
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83709-4708
Practice Address - Country:US
Practice Address - Phone:208-213-2930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDMID-147176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife