Provider Demographics
NPI:1104156561
Name:ANKENY, ROBERT BRUCE (RNC, OCN)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:BRUCE
Last Name:ANKENY
Suffix:
Gender:M
Credentials:RNC, OCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 CATALPA LN
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-3407
Mailing Address - Country:US
Mailing Address - Phone:408-378-6204
Mailing Address - Fax:408-871-9867
Practice Address - Street 1:135 CATALPA LN
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-3407
Practice Address - Country:US
Practice Address - Phone:408-378-6204
Practice Address - Fax:408-871-9867
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA391922163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology