Individual
MADELINE MOCK ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN271855
GA
367A00000X
Advanced Practice Midwife
Primary
RN271855
GA
Other
Enumeration date
09/21/2022
Last updated
04/04/2023
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