Individual
CHARLOTTE HELEN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-C/WHNP-BC
Contact information
Practice address
3838 N RURAL ST, INDIANAPOLIS, IN 46205-2930
(317) 221-2306
(317) 221-2336
Mailing address
3838 N RURAL ST, INDIANAPOLIS, IN 46205-2930
(317) 221-2306
(317) 221-2336
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
28091745A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28091745A
INDIANA STATE LICENSE
IN
Enumeration date
02/16/2012
Last updated
02/16/2012
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