Individual
AMY L ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(843) 661-6215
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
128131
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
1967A
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051615
—
NC
Enumeration date
07/13/2005
Last updated
12/14/2020
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