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NPI Code Detail

MEDICARE: PATRICIA ROBERTS MSN, CPNP, FNP

MEDICARE:   PATRICIA  ROBERTS  MSN, CPNP, FNP
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
1207KA0200XAllergy PhysicianRN23860NV
2363L00000XNurse PractitionerAPRN00455NV

General Provider Information

NPI Number : 1316991615
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ROBERTS MSN, CPNP, FNP
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4750 W OAKEY BLVD STE 1A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1535
Country : US
Telephone Number : 702-724-8844
Fax Number : 702-724-8754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 10/12/2017

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Directions to “ PATRICIA ROBERTS MSN, CPNP, FNP” Practice Location

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