Individual
ILANA ROBBINS RENFROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
7855 IVANHOE AVE STE 110, LA JOLLA, CA 92037-4507
(858) 554-1212
Mailing address
7855 IVANHOE AVE STE 110, LA JOLLA, CA 92037-4507
(858) 554-1212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
240646
TN
163W00000X
Registered Nurse
95207886
CA
363L00000X
Nurse Practitioner
Primary
95016239
CA
Other
Enumeration date
01/17/2021
Last updated
04/20/2023
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