1780927772 NPI number — PATRICIA SIATTA TULAY-ROBINSON APRN

Table of content: PATRICIA SIATTA TULAY-ROBINSON APRN (NPI 1780927772)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780927772 NPI number — PATRICIA SIATTA TULAY-ROBINSON APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TULAY-ROBINSON
Provider First Name:
PATRICIA
Provider Middle Name:
SIATTA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780927772
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/02/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
33156 AZALEA RIDGE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESLEY CHAPEL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33545-5105
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-561-9189
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
851 W LUMSDEN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRANDON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33511-6280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-561-9189
Provider Business Practice Location Address Fax Number:
202-982-4689
Provider Enumeration Date:
03/28/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  11030026 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X , with the licence number: 2023166840 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 123456 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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