Individual
MAURICE J ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3601 OLD HALIFAX RD STE 100, SOUTH BOSTON, VA 24592-4953
(757) 984-6140
(833) 491-4954
Mailing address
GODOCS LLC, 949 PINEY FOREST ROAD, DANVILLE, VA 24540-1591
(434) 835-4876
(434) 835-4875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177069
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024177069
APPLICATION IN PROCESS
VA
Enumeration date
12/19/2018
Last updated
02/25/2026
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