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Individual

NETTIE RENEA ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
615 7TH AVE, BOWLING GREEN, KY 42101-6921
(615) 519-4858
Mailing address
2220 GIRKIN RD, BOWLING GREEN, KY 42101-8611
(615) 869-9753

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4009445
KY

Other

Enumeration date
10/17/2023
Last updated
06/25/2024
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