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NPI Code Detail

MEDICARE: MRS. RUTH H ROBERTSON FNP

MEDICARE:  MRS. RUTH H ROBERTSON  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
1363LF0000XFamily Nurse Practitioner0024167134VA

General Provider Information

NPI Number : 1467449587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RUTH H ROBERTSON FNP
Provider Business Mailing Address
First Line : 104 WATERTON DR
Second Line :
City : LYNCHBURG
State : VA
Zip : 24503-2161
Country : US
Telephone Number : 434-384-1477
Fax Number :
Provider Business Practice Location Address
First Line : 2007 GRAVES MILL RD
Second Line :
City : FOREST
State : VA
Zip : 24551-2656
Country : US
Telephone Number : 434-385-8948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 01/23/2014

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