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NPI Code Detail

MEDICARE: MRS. ADRIANNE SUZANNE ROUNDS RN, CDE

MEDICARE: MRS. ADRIANNE SUZANNE ROUNDS RN, CDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WD0400XDiabetes Educator Registered NurseRN616834CA

General Provider Information

NPI Number : 1932580453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ADRIANNE SUZANNE ROUNDS RN, CDE
Provider Business Mailing Address
First Line : PO BOX 539
Second Line :
City : SANTA YNEZ
State : CA
Zip : 93460-0539
Country : US
Telephone Number : 805-688-7070
Fax Number : 805-686-2060
Provider Business Practice Location Address
First Line : 90 VIA JUANA RD
Second Line :
City : SANTA YNEZ
State : CA
Zip : 93460-9679
Country : US
Telephone Number : 805-688-7070
Fax Number : 805-686-2060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2015
Last Update Date : 06/10/2015

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