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Individual

MS. AMY LEA ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
6719 GOV. G. C. PEERY HWY., SUITE 3100, RICHLANDS, VA 24641
(276) 964-9012
(276) 963-2865
Mailing address
PO BOX 900, SUITE 3100, RICHLANDS, VA 24641-0900
(276) 964-9102
(276) 963-2865

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166071
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010260621
VA
05
3810000576
WV
Enumeration date
11/10/2005
Last updated
03/29/2014
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