Individual
DR. TRACY ANN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, NP-C
Contact information
Practice address
4740 N PENNGROVE WAY STE 100, MERIDIAN, ID 83646-7446
(208) 938-3663
(208) 938-3664
Mailing address
4740 N PENNGROVE WAY STE 100, MERIDIAN, ID 83646-7446
(208) 938-3663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
51644
ID
363LF0000X
Family Nurse Practitioner
Primary
65132
ID
Other
Enumeration date
06/06/2020
Last updated
02/09/2022
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