MEDICARE: MRS. JULIA ELIZABETH ROBINSON FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	21937	CA
2	364SG0600X	Gerontology Clinical Nurse Specialist	3067	CA

General Provider Information

NPI Number	:	1770912206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIA ELIZABETH ROBINSON FNP-C

Provider Business Mailing Address
First Line	:	6155 CORNERSTONE CT E
Second Line	:	SUITE 220
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-4736
Country	:	US
Telephone Number	:	858-458-2993
Fax Number	:

Provider Business Practice Location Address
First Line	:	6155 CORNERSTONE CT E
Second Line	:	SUITE 220
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-4736
Country	:	US
Telephone Number	:	858-458-2992
Fax Number	:	858-458-3655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2013
Last Update Date	:	01/11/2015

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