Individual
JANE L. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 HOSPITAL RD, TELL CITY, IN 47586-2750
(812) 554-7011
Mailing address
862 PLEASURE PT W, MACEO, KY 42355-9710
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1045958
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000308907
ANTHEM BCBS PIN
KY
05
—
74003989
—
KY
01
—
P00229918
RAILROAD MEDICARE PIN
KY
Enumeration date
02/03/2006
Last updated
07/08/2007
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