Healthcare Provider Details
I. General information
NPI: 1811019136
Provider Name (Legal Business Name): HELEN ROBERTS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6501 TRUXTUN AVE
BAKERSFIELD CA
93309-0633
US
IV. Provider business mailing address
12418 FOX HOLLOW CT
BAKERSFIELD CA
93312-3606
US
V. Phone/Fax
- Phone: 661-322-2206
- Fax: 661-327-7027
- Phone: 661-589-4433
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 215997 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: