Provider Demographics
NPI:1932524303
Name:CAVALIERE, ROBYNN HEATHER (DNP, PMHNP)
Entity Type:Individual
Prefix:DR
First Name:ROBYNN
Middle Name:HEATHER
Last Name:CAVALIERE
Suffix:
Gender:F
Credentials:DNP, PMHNP
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Other - First Name:
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Mailing Address - Street 1:12020 CAMINITO CAMPANA
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2014
Mailing Address - Country:US
Mailing Address - Phone:858-900-9944
Mailing Address - Fax:510-756-0812
Practice Address - Street 1:10815 RANCHO BERNARDO RD STE 370
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-5707
Practice Address - Country:US
Practice Address - Phone:619-692-1581
Practice Address - Fax:619-692-1588
Is Sole Proprietor?:No
Enumeration Date:2014-02-21
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95001012363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW416Medicare PIN