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Individual

MS. PATRICIA AILEEN ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, FNP, ANP, MSN

Contact information

Practice address
7440 SPRING VILLAGE DR, SPRINGFIELD, VA 22150-4446
(703) 923-4644
(703) 923-4625
Mailing address
813 MAIDEN CHOICE LN, BALTIMORE, MD 21228-3679
(410) 402-2258
(410) 204-7279

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024164131
VA
363LF0000X
Family Nurse Practitioner
0024164131
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024164131
NURSE PRACTITIONER LICENS
VA
01
063866-23
APRN LICENSE
NH
01
AP30005434
ARNP LICENSE
WA
Enumeration date
04/20/2007
Last updated
06/07/2021
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