Individual
ROBERT TAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8000 MARINA BLVD, BRISBANE, CA 94005-1840
(415) 514-3577
(415) 514-0702
Mailing address
8000 MARINA BLVD, BRISBANE, CA 94005-1840
(415) 514-3577
(415) 514-0702
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95005175
CA
364SA2200X
Adult Health Clinical Nurse Specialist
95005175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95005175
—
CA
Enumeration date
10/10/2016
Last updated
04/25/2024
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