Individual
REBECCA A ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
86 HIGHWAY 638, SUITE 1, MANCHESTER, KY 40962-7289
(606) 596-0701
(606) 596-0703
Mailing address
PO BOX 737, BOONEVILLE, KY 41314-0737
(606) 593-6023
(606) 593-6087
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008071
KY
363LF0000X
Family Nurse Practitioner
3008071
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100258650
—
KY
Enumeration date
06/06/2013
Last updated
03/27/2014
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