Individual
MS. RAVEN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1575 MONTGOMERY HWY, VESTAVIA HILLS, AL 35216-4510
(205) 822-1150
Mailing address
614 CROWNE RESERVE DR, HOOVER, AL 35244-7042
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-166339
AL
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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