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Individual

KATHERINE ROBERTS

Active
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Individual

KATHERINE ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2017007175
MO
363LF0000X
Family Nurse Practitioner
Primary
ARNP9314185
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
MEDICARE
MO
05
PENDING
AR
05
PENDING
MO
05
PENDING
OK
Enumeration date
05/17/2017
Last updated
10/16/2024
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