MEDICARE: DR. ANNE-MARIE ROBERTS M.D.

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
1	207RI0200X	Infectious Disease Physician	ME88960	FL
2	207RI0200X	Infectious Disease Physician	12880	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699771360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE-MARIE ROBERTS M.D.

Provider Business Mailing Address
First Line	:	6480 W RUSSELL RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1919
Country	:	US
Telephone Number	:	702-845-2841
Fax Number	:	702-252-4405

Provider Business Practice Location Address
First Line	:	2500 PERLITER AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-7309
Country	:	US
Telephone Number	:	702-396-4165
Fax Number	:	702-656-0026

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	01/08/2009

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