Individual
SAMANTHA NICOLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14492 TRAILS EDGE BLVD, ODESSA, FL 33556-2923
(813) 310-3130
Mailing address
14492 TRAILS EDGE BLVD, ODESSA, FL 33556-2923
(813) 310-3130
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11034430
FL
Other
Enumeration date
08/05/2024
Last updated
08/07/2024
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