Individual
AMANDA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP, PMHNP-BC
Contact information
Practice address
2701 W UNIVERSITY BLVD, DURANT, OK 74701-2997
(580) 740-4053
Mailing address
PO BOX 1701, KINGSTON, OK 73439-1701
(580) 740-4053
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
217309
OK
Other
Enumeration date
03/25/2024
Last updated
05/13/2026
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