MEDICARE: SARAH ROBERTS

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	363LP2300X	Primary Care Nurse Practitioner	0037877	OH

General Provider Information

NPI Number	:	1871313593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ROBERTS

Provider Business Mailing Address
First Line	:	1846 SPINDLETOP LN
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-6501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1846 SPINDLETOP LN
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-6501
Country	:	US
Telephone Number	:	937-546-0672
Fax Number	:

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

Provider Enumeration Date	:	10/16/2024
Last Update Date	:	10/16/2024

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Directions to “ SARAH ROBERTS ” Practice Location

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