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Individual

SUSAN LEE ROBERTS

Active
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Individual

SUSAN LEE ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, WHNP

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
235992
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
95010328
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235992
CNM
CA
01
—
483840
RN
CA
01
—
95010328
WHNP
CA
Enumeration date
01/07/2019
Last updated
01/24/2023
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