Individual
MRS. COURTNEY MICHELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(913) 222-9779
Mailing address
642 SW CRESTVIEW DR, GRAIN VALLEY, MO 64029-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021037330
MO
363LF0000X
Family Nurse Practitioner
81082
KS
Other
Enumeration date
10/12/2021
Last updated
05/06/2024
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