MEDICARE: DR. GUADALUPE ROBLES FNP

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
1	363L00000X	Nurse Practitioner	NP11684	CA

General Provider Information

NPI Number	:	1942202387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUADALUPE ROBLES FNP

Provider Business Mailing Address
First Line	:	5601 AUBURN ST UNIT A
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93306-2977
Country	:	US
Telephone Number	:	661-616-9700
Fax Number	:	661-616-9719

Provider Business Practice Location Address
First Line	:	5601 AUBURN ST UNIT A
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93306-2977
Country	:	US
Telephone Number	:	661-616-9700
Fax Number	:	661-616-9719

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	05/28/2009

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