Individual
MS. SHAWN ADELE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS FNP
Contact information
Practice address
950 E BOGARD RD, SUITE 103, WASILLA, AK 99654-7184
(907) 352-2880
(907) 352-2885
Mailing address
22626 LAKE HILL DR., CHUGIAK, AK 99567
(907) 440-6450
(907) 688-8453
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
166
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166-02
—
AK
Enumeration date
02/15/2007
Last updated
04/05/2013
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