Provider Demographics
NPI:1720727134
Name:ROBINS, KATHERINE SUZAN (CNS)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:SUZAN
Last Name:ROBINS
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:SUZAN
Other - Last Name:OZGUC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:13333 POCANO WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4077
Mailing Address - Country:US
Mailing Address - Phone:773-256-7060
Mailing Address - Fax:
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:773-256-7060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4783364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist