Provider Demographics
NPI:1154101988
Name:QUINN, ROBYN (FNP-BC)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:QUINN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30902 CLUBHOUSE DR UNIT 20C
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2391
Mailing Address - Country:US
Mailing Address - Phone:951-454-8146
Mailing Address - Fax:
Practice Address - Street 1:29100 PORTOLA PKWY STE B
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-8713
Practice Address - Country:US
Practice Address - Phone:949-431-0780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5021253363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily