# SUSAN LEE ROBERTS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861965352
- **Gender:** F
- **Credential:** CNM, WHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | 235992 | CA | Yes |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 95010328 | CA | — |

## Other

- **Enumeration date:** 01/07/2019
- **Last updated:** 01/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 235992 | CNM | CA |
| 01 | — | 483840 | RN | CA |
| 01 | — | 95010328 | WHNP | CA |