Individual
MICHELLE LEA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2401 W MAIN ST, BLDG 8, MARION, IL 62959-1188
(618) 993-4117
(618) 998-5668
Mailing address
2401 W MAIN ST, BLDG 8, MARION, IL 62959-1188
(618) 993-4117
(618) 998-5668
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
28139603A
IN
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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