Individual
VIRGINIA D ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
2410 8TH AVE S, NASHVILLE, TN 37204-2490
(615) 875-0875
Mailing address
113 CURTISWOOD DR, HENDERSONVILLE, TN 37075-5408
(615) 496-5777
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-146177
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-146177
RN LACTATION CONSULTANT
—
Enumeration date
01/20/2019
Last updated
01/20/2019
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