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NPI Code Detail

MEDICARE: ROBYN MARIE ERNSTEN

MEDICARE: ROBYN MARIE ERNSTEN
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
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1912845884
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN MARIE ERNSTEN
Provider Business Mailing Address
First Line : 700 FREDERICK ST STE 103
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-2239
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 FREDERICK ST STE 103
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-2239
Country : US
Telephone Number : 831-996-1222
Fax Number : 831-417-0443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ ROBYN MARIE ERNSTEN ” Practice Location

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