Individual
MS. BECKY SUE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 N 400 E, PANGUITCH, UT 84759-0382
(435) 676-8842
(435) 676-2679
Mailing address
PO BOX 389, 200 N 400 E, PANGUITCH, UT 84759-0389
(435) 676-8842
(435) 676-2679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2063764405
UT
363LF0000X
Family Nurse Practitioner
Primary
2063764405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4447
ID#
UT
Enumeration date
09/14/2006
Last updated
09/11/2025
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