Provider Demographics
NPI:1093539942
Name:ROBLES, KITZEL RUBICELA (APRN)
Entity type:Individual
Prefix:DR
First Name:KITZEL
Middle Name:RUBICELA
Last Name:ROBLES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 AVOCET WAY
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-1172
Mailing Address - Country:US
Mailing Address - Phone:346-775-5547
Mailing Address - Fax:
Practice Address - Street 1:1818 AVOCET WAY
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-1172
Practice Address - Country:US
Practice Address - Phone:346-775-5547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1179614363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner