Berenice Robledo, RN

Individual provider Active NPI Registered Nurse · Calistoga, CA

NPI 1679986152 · NPPES record last updated Jun 3, 2014

Key facts

NPI
1679986152
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
818691 (CA)
Practice address
1433 Lake St
Calistoga, CA 94515-1456
Phone
(707) 321-8348
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
818691CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 818691 CA Yes

Addresses

Primary practice location

1433 Lake St
Calistoga, CA 94515-1456

Mailing address

1433 Lake St
Calistoga, CA 94515-1456

Other providers in Calistoga, CA

All providers in Calistoga, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.