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NPI Code Detail

MEDICARE: SHONDRIKA MICHELLE ROBERTSON

MEDICARE: SHONDRIKA MICHELLE 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1093661191
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHONDRIKA MICHELLE ROBERTSON
Provider Business Mailing Address
First Line : 703 WINNONA ST
Second Line :
City : NATCHITOCHES
State : LA
Zip : 71457-4071
Country : US
Telephone Number : 318-681-9935
Fax Number : 318-681-9938
Provider Business Practice Location Address
First Line : 2620 CENTENARY BLVD STE 312
Second Line :
City : SHREVEPORT
State : LA
Zip : 71104-3358
Country : US
Telephone Number : 318-681-9935
Fax Number : 318-681-9938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ SHONDRIKA MICHELLE ROBERTSON ” Practice Location

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