Individual
KAYLIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 HARTMAN LN, SPRINGFIELD, OR 97477-1118
(541) 334-3350
Mailing address
14522 17TH AVE E, BRADENTON, FL 34212-9168
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10016683
OR
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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