Individual
KIRSTEN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1184 CLEAVER RD STE 300, CARO, MI 48723-1165
(989) 282-4003
Mailing address
6311 SHAPPIE RD, CLARKSTON, MI 48348-1959
(248) 625-5379
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704178391
MI
Other
Enumeration date
04/19/2017
Last updated
02/08/2018
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