Individual
DALE J ROBERTSON
Active
Individual
DALE J ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L60A00462
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1-0015899
PROFESSIONAL LICENSE-RN
DE
01
—
L6-0A00462
PROFESSIONAL LICENSE-CRNA
DE
Enumeration date
02/24/2006
Last updated
07/01/2011
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