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Individual
AUDREY CLAIRE ROBERTSON
Active
Individual
AUDREY CLAIRE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
248392
TN
363L00000X
Nurse Practitioner
Primary
11016102
FL
363LA2100X
Acute Care Nurse Practitioner
109419
FL
Other
Enumeration date
12/17/2021
Last updated
03/18/2022
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