Individual
RENATA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5340 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1470
(800) 860-8100
(574) 204-7792
Mailing address
PO BOX 746092, ATLANTA, GA 30374-6092
(574) 334-5400
(574) 237-1348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28151749A
IN
Other
Enumeration date
01/12/2016
Last updated
11/15/2023
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