Individual
PRINCILLA MARIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1655 BERNARDIN AVE STE 220, COLUMBIA, SC 29204-2044
(843) 792-1414
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07220347
SC
Other
Enumeration date
07/29/2022
Last updated
01/27/2023
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