# MRS. SUSAN TRACY ROBERTS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1730453283
- **Gender:** F
- **Credential:** NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 0024169878 | VA | — |
| 363L00000X | Nurse Practitioner | 0024169878 | VA | Yes |
| 363LX0106X | Occupational Health Nurse Practitioner | 5006199 | NC | — |

## Other

- **Enumeration date:** 03/01/2012
- **Last updated:** 07/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 363L00000X | TAXONOMY | VA |