Individual
ALICE J ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
757 BRYANT ST, STATESVILLE, NC 28677-4142
(704) 873-5658
Mailing address
904 TROY MILL RD, HAMPTONVILLE, NC 27020-7265
(704) 539-4086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0001132012
WV
363LF0000X
Family Nurse Practitioner
Primary
5004976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001743447
BCBS
WV
05
—
3810004033
—
WV
Enumeration date
10/12/2006
Last updated
08/10/2011
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