Robbin Lynn Samuelson, RN
Individual provider Active NPI Registered Nurse · Ferndale, CA
NPI 1669909271 · NPPES record last updated May 12, 2017
Key facts
- NPI
- 1669909271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 704851 (CA)
- Practice address
- 638 Main Street
Ferndale, CA 95536 - Phone
- (707) 786-4028
- Fax
- (707) 786-9029
- NPI assigned
- May 12, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 704851 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 704851 | CA | Yes |
Addresses
Primary practice location
638 Main Street
Ferndale, CA 95536
Mailing address
670 9TH St Ste 203
Arcata, CA 95521-6249
Phone (707) 826-8633
Other providers in Ferndale, CA
- Open Door Community Health Centers
- Shawna Owsley
- Jacklyn Ruth Perlenfein
- Rings Pharmacy
- Christine Ross
- Jaclyn Maureen Smosna
- Felicia Uber
- George Carl Wilson Jr.
All providers in Ferndale, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.