Individual
DIRK E ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA, FNP-C
Contact information
Practice address
606 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-7779
(573) 756-6914
Mailing address
606 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-7779
(573) 756-6914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
151527
MO
363LF0000X
Family Nurse Practitioner
Primary
2015025676
MO
Other
Enumeration date
09/06/2014
Last updated
08/05/2015
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