Individual
TAMRA R ROBERTSON
Active
Individual
TAMRA R ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
209-009796
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
71006229A
IN
Other
Enumeration date
10/31/2012
Last updated
05/09/2016
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