Individual
REBECCA ANNE ROBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
27 MAIN ST, BRISTOL HOSPITAL MULTI SPECIALTY GROUP, INC, TERRYVILLE, CT 06786-5101
(860) 314-6818
Mailing address
PO BOX 2828, BRISTOL HOSPITAL MULTI SPECIALTY GROUP, INC, BRISTOL, CT 06011-2828
(860) 585-3773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
005196
CT
363LF0000X
Family Nurse Practitioner
Primary
005196
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004051967
—
CT
Enumeration date
10/10/2006
Last updated
04/05/2017
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