Individual
TAMRA R ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
350 S LANDMARK AVE, BLOOMINGTON, IN 47403-5001
(812) 335-2434
(812) 335-7604
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 353-3087
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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