Individual
MRS. KATHRYN COLLEEN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
302 S 1ST AVE, SANDPOINT, ID 83864-1258
(208) 263-5109
(208) 263-5112
Mailing address
6280 HIGHWAY 2, SANDPOINT, ID 83864-8381
(208) 265-9532
(208) 263-5112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP342
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8055221300
—
ID
Enumeration date
12/22/2006
Last updated
07/08/2007
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