Individual
ANGEL LAM ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 ARCADE AVE STE 300, ELKHART, IN 46514-2486
(574) 389-7362
(574) 389-5612
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704400340
MI
363LF0000X
Family Nurse Practitioner
Primary
71013203A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497477608
—
MI
05
—
300069661
—
IN
Enumeration date
09/14/2022
Last updated
04/14/2025
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