MEDICARE: MRS. D'ANDREA ROBERSON LPN

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	376J00000X	Homemaker
2	347C00000X	Private Vehicle
3	164W00000X	Licensed Practical Nurse	PN142026	OH

General Provider Information

NPI Number	:	1144660002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. D'ANDREA ROBERSON LPN

Provider Business Mailing Address
First Line	:	518 BISHOP ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44307-2160
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	518 BISHOP ST
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44307-2160
Country	:	US
Telephone Number	:	330-400-0320
Fax Number	:

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

Provider Enumeration Date	:	06/25/2013
Last Update Date	:	01/13/2026

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