Healthcare Provider Details

I. General information

NPI: 1528902053
Provider Name (Legal Business Name): NOELLE ANGELIQUE ROBNETT CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 EL CENTRO ST STE 100
SOUTH PASADENA CA
91030-3202
US

IV. Provider business mailing address

3917 W 28TH ST
LOS ANGELES CA
90018-2351
US

V. Phone/Fax

Practice location:
  • Phone: 626-399-0649
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236579
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95101210
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: