Individual
MS. LIBRA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 E PENNSYLVANIA AVE STE 304, TOWSON, MD 21286-0701
(410) 498-4808
(410) 498-7244
Mailing address
6405 CHESSINGTON ST, MIDDLE RIVER, MD 21220-1857
(443) 743-8129
(410) 498-7244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R208116
MD
363LF0000X
Family Nurse Practitioner
Primary
R208116
MD
363LP2300X
Primary Care Nurse Practitioner
R208116
MD
Other
Enumeration date
04/12/2018
Last updated
05/22/2024
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