Individual
MS. KENYA R ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4573 N 29TH ST, MILWAUKEE, WI 53209-6005
(414) 698-3245
Mailing address
4573 N 29TH ST, MILWAUKEE, WI 53209-6005
(414) 698-3245
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
147235-30
WI
363LF0000X
Family Nurse Practitioner
Primary
5717-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5717-33
WI
Other
Enumeration date
08/01/2011
Last updated
01/26/2022
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