Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MRS. ROBERTA ANN DACUS
Active
Individual
MRS. ROBERTA ANN DACUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
20496
CA
363LF0000X
Family Nurse Practitioner
209.025719
IL
363LF0000X
Family Nurse Practitioner
348412
NY
363LF0000X
Family Nurse Practitioner
4704379404
MI
363LF0000X
Family Nurse Practitioner
Primary
AP107088
TX
363LF0000X
Family Nurse Practitioner
AP30006084
WA
363LF0000X
Family Nurse Practitioner
C-APN.0001472-C-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154934
LYI
—
05
—
9632647
—
WA
Enumeration date
01/11/2006
Last updated
07/10/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up