Individual
JONI ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 225-7630
Mailing address
116 BONITA DR, HAMPTON, VA 23664-1906
(646) 285-8953
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0024190555
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024190555
VA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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