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Individual
IVORY ROBERTS
Active
Individual
IVORY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP130562
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
AP130562
TX
363LF0000X
Family Nurse Practitioner
AP130562
TX
Other
Enumeration date
11/21/2016
Last updated
03/06/2024
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