Individual
EMILY LOUISE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1241 W STADIUM BLVD FL 2, JEFFERSON CITY, MO 65109-6023
(573) 556-7704
Mailing address
4910 JUDICIAL CT, ASHLAND, MO 65010-9481
(417) 342-4588
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2023021168
MO
Other
Enumeration date
06/12/2023
Last updated
06/28/2023
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