Individual
PATRICIA ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
PIEDMONT TRIAD ANESTHESIA, PA, 145 KIMEL PARK DR., WINSTON SALEM, NC 27103
(336) 768-3212
Mailing address
2850 KNOB HILL DR, CLEMMONS, NC 27012-8618
(336) 766-6031
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
15498
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050000
—
NC
Enumeration date
08/10/2006
Last updated
07/08/2007
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