Individual
PRISCILLA CAROL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3022 OLD MINDEN RD STE 100, BOSSIER CITY, LA 71112-2454
(318) 741-7314
Mailing address
3022 OLD MINDEN RD, BOSSIER CITY, LA 71112-2477
(318) 525-7741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN143288
LA
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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