Individual
OLIVIA C ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
14603 STRAUSS DR APT 2536, CARMEL, IN 46032-7037
(317) 919-3399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004169A
IN
363AM0700X
Medical Physician Assistant
10004169A
IN
363AS0400X
Surgical Physician Assistant
10004169A
IN
Other
Enumeration date
12/04/2023
Last updated
12/18/2023
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