Individual
LAUREN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
515 E WASHINGTON ST, IDABEL, OK 74745-3325
(580) 245-7004
(866) 531-9981
Mailing address
515 E WASHINGTON ST, IDABEL, OK 74745-3325
(580) 245-7004
(866) 531-9981
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0132066
OK
364SF0001X
Family Health Clinical Nurse Specialist
A005084
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A005084
CNP LICENSE
AR
01
—
R0132066
NURSING BOARD
OK
Enumeration date
03/08/2017
Last updated
05/30/2024
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