Individual
GARY ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 SUNRISE DR, RICHLANDS, VA 24641-3621
(276) 345-6475
Mailing address
200 SUNRISE DR, RICHLANDS, VA 24641-3621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001282548
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71017907A
VA
Other
Enumeration date
12/17/2025
Last updated
04/29/2026
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