Individual
MRS. ROXANNE JO DOBRAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
8245 W BEATRICE DR, CLEAR LAKE, MN 55319-9464
(701) 500-0794
(855) 239-8566
Mailing address
8245 W BEATRICE DR, CLEAR LAKE, MN 55319-9464
(701) 500-0794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2509054
MN
163W00000X
Registered Nurse
37941
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11444
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
54319
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801616248
NPPES
—
Enumeration date
06/27/2019
Last updated
01/26/2025
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