MEDICARE: MRS. NATALIE ROBERTS APRN NP

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	363L00000X	Nurse Practitioner	113101	NE

General Provider Information

NPI Number	:	1275152084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATALIE ROBERTS APRN NP

Provider Business Mailing Address
First Line	:	8701 F ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68127-1504
Country	:	US
Telephone Number	:	402-403-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	8701 F ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68127-1504
Country	:	US
Telephone Number	:	402-403-4400
Fax Number	:

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

Provider Enumeration Date	:	04/11/2020
Last Update Date	:	11/27/2023

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