Healthcare Provider Details

I. General information

NPI: 1932580453
Provider Name (Legal Business Name): ADRIANNE SUZANNE ROUNDS RN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 06/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 VIA JUANA RD
SANTA YNEZ CA
93460-9679
US

IV. Provider business mailing address

PO BOX 539
SANTA YNEZ CA
93460-0539
US

V. Phone/Fax

Practice location:
  • Phone: 805-688-7070
  • Fax: 805-686-2060
Mailing address:
  • Phone: 805-688-7070
  • Fax: 805-686-2060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN616834
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: