Healthcare Provider Details
I. General information
NPI: 1245252899
Provider Name (Legal Business Name): MARITZA OROZCO-ROBLES FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2300 7TH ST WASCO MEDICAL PLAZA
WASCO CA
93280-1585
US
IV. Provider business mailing address
306 CLAUDIA AUTUMN DR
BAKERSFIELD CA
93314-4766
US
V. Phone/Fax
- Phone: 661-758-4184
- Fax: 661-758-4187
- Phone: 661-587-0367
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 593126 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: