Individual
COURTNEYBELLE MUNRO DESROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CPN
Contact information
Practice address
525 PLUM ST APT 403, SYRACUSE, NY 13204-1525
(315) 200-5485
Mailing address
525 PLUM ST APT 403, SYRACUSE, NY 13204-1525
(315) 200-5485
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
718004
NY
163WP0200X
Pediatric Registered Nurse
Primary
718004-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
718004
REGISTERED NURSE
NY
Enumeration date
09/22/2021
Last updated
09/22/2021
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