Individual
MRS. MARCIA KATONYA ROBERTS-MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
710 ASH ST, MONTICELLO, FL 32344-2100
(850) 212-0127
Mailing address
710 ASH ST, MONTICELLO, FL 32344-2100
(850) 212-0127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN219851
GA
163W00000X
Registered Nurse
RN9328762
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
9328762
FL
Other
Enumeration date
06/17/2014
Last updated
11/09/2015
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