MEDICARE: MR. ASKIA ROBERTSON RN

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	163W00000X	Registered Nurse	332895	NC
2	163WH0500X	Hemodialysis Registered Nurse	332895	NC
3	163WN0300X	Nephrology Registered Nurse	332895	NC

General Provider Information

NPI Number	:	1437081965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ASKIA ROBERTSON RN

Provider Business Mailing Address
First Line	:	1107 SANDTRAP WAY
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-6588
Country	:	US
Telephone Number	:	919-907-1262
Fax Number	:

Provider Business Practice Location Address
First Line	:	2530 MERIDIAN PKWY
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-5272
Country	:	US
Telephone Number	:	919-907-1262
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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