Individual
ANDREA Z. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3031 PLANK RD, FREDERICKSBURG, VA 22401-4951
(540) 736-5043
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001888
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010105277
—
VA
01
—
P00231716
RAILROAD MEDICARE
—
Enumeration date
07/10/2006
Last updated
10/04/2019
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