Healthcare Provider Details

I. General information

NPI: 1295292589
Provider Name (Legal Business Name): ROSALIND ROBLES CAUMBAN AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2019
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3133 W FRYE RD STE 101
CHANDLER AZ
85226-5132
US

IV. Provider business mailing address

3570 S VAL VISTA DR STE 110
GILBERT AZ
85297-7327
US

V. Phone/Fax

Practice location:
  • Phone: 888-712-0724
  • Fax: 888-610-3402
Mailing address:
  • Phone: 480-899-9923
  • Fax: 480-899-0196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number222711
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number222711
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: