Healthcare Provider Details

I. General information

NPI: 1881036333
Provider Name (Legal Business Name): ROBIN MORRISEY N. P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2013
Last Update Date: 01/20/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10140 CAMPUS POINT DR STE 140
SAN DIEGO CA
92121-1520
US

IV. Provider business mailing address

10790 RANCHO BERNARDO RD
SAN DIEGO CA
92127-5705
US

V. Phone/Fax

Practice location:
  • Phone: 858-678-7050
  • Fax:
Mailing address:
  • Phone: 858-678-7101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number497783
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number12302
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: