Individual
MADONNA MARIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, AGACNP-BC
Contact information
Practice address
4400 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-1892
(469) 322-7481
(469) 322-7807
Mailing address
232 IRICK CT, AUBREY, TX 76227-1213
(214) 676-7068
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
718016
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP135379
TX
Other
Enumeration date
02/06/2018
Last updated
05/21/2019
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