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NPI Code Detail

MEDICARE: GRACE ROBERTSON

MEDICARE: GRACE ROBERTSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1-202587AL

General Provider Information

NPI Number : 1023953437
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE ROBERTSON
Provider Business Mailing Address
First Line : 216 RIVER OAKS DR
Second Line :
City : HELENA
State : AL
Zip : 35080-8621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3690 GRANDVIEW PKWY
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-3326
Country : US
Telephone Number : 205-971-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ GRACE ROBERTSON ” Practice Location

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