Provider Demographics
NPI:1598659518
Name:OLDENBURG, ROBIN MARIE (NP)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:MARIE
Last Name:OLDENBURG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28591 HEATHER GREEN WAY
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-8369
Mailing Address - Country:US
Mailing Address - Phone:951-461-6500
Mailing Address - Fax:
Practice Address - Street 1:2365 NORTHSIDE DR STE 200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-2720
Practice Address - Country:US
Practice Address - Phone:951-461-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034890363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care