Healthcare Provider Details

I. General information

NPI: 1356285720
Provider Name (Legal Business Name): NICOLE ROBRECHT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4828 W MOUNTAIN VIEW DR APT 7
SAN DIEGO CA
92116-1754
US

IV. Provider business mailing address

4828 W MOUNTAIN VIEW DR APT 7
SAN DIEGO CA
92116-1754
US

V. Phone/Fax

Practice location:
  • Phone: 703-282-6227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95038245
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: