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Individual
TATONYA MONIQUE ROBERTS
Active
Individual
TATONYA MONIQUE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017004145
MO
363LF0000X
Family Nurse Practitioner
209015544
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1116320
AANP CERTIFICATION
IL
Enumeration date
04/20/2017
Last updated
06/25/2024
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