Healthcare Provider Details

I. General information

NPI: 1881503282
Provider Name (Legal Business Name): CLAIRE ROBERTSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 AIRPORT BLVD BLDG B
MOBILE AL
36608-6705
US

IV. Provider business mailing address

6701 AIRPORT BLVD BLDG B
MOBILE AL
36608-6705
US

V. Phone/Fax

Practice location:
  • Phone: 251-625-6896
  • Fax:
Mailing address:
  • Phone: 251-625-6896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number742824
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: