Individual
MAYORY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1828 165TH ST STE A, HAMMOND, IN 46320-2823
(219) 763-8112
(219) 844-9006
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-5333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
025912
OH
363LF0000X
Family Nurse Practitioner
Primary
71010982A
IN
Other
Enumeration date
11/25/2019
Last updated
04/30/2021
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