Individual
KATELYN ROBERTS
Active
Individual
KATELYN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001309450
VA
163W00000X
Registered Nurse
754312
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
0024190441
VA
Other
Enumeration date
06/12/2022
Last updated
06/13/2024
Update your record
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