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NPI Code Detail

MEDICARE: MS. LINDA ANN ROBERTS REGISTERED NURSE

MEDICARE: MS. LINDA ANN ROBERTS REGISTERED NURSE
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
1163WP0809XAdult Psychiatric/Mental Health Registered Nurse416969CA

General Provider Information

NPI Number : 1043308687
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA ANN ROBERTS REGISTERED NURSE
Provider Business Mailing Address
First Line : 5321 VIA MARISOL
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-4883
Country : US
Telephone Number : 323-478-8200
Fax Number : 323-344-8829
Provider Business Practice Location Address
First Line : 5321 VIA MARISOL
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-4883
Country : US
Telephone Number : 323-478-8200
Fax Number : 323-344-8829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 07/08/2007

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Directions to “ MS. LINDA ANN ROBERTS REGISTERED NURSE” Practice Location

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