Healthcare Provider Details

I. General information

NPI: 1518718410
Provider Name (Legal Business Name): ANDREA RENAE ROBINSON MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANDREA RENAE CHUMLEY

II. Dates (important events)

Enumeration Date: 03/28/2024
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 W MISSION AVE
ESCONDIDO CA
92025-1729
US

IV. Provider business mailing address

347 W MISSION AVE
ESCONDIDO CA
92025-1729
US

V. Phone/Fax

Practice location:
  • Phone: 619-881-4500
  • Fax:
Mailing address:
  • Phone: 619-881-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95029351
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95029351
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number95029351
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95029351
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: