Individual
ELISE NICOLE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
575 S 70TH ST STE 200, LINCOLN, NE 68510-2471
(402) 436-2000
(402) 436-2086
Mailing address
6335 AMBROSIA DR, LINCOLN, NE 68521-8935
(763) 232-0341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91177983213
—
NE
Enumeration date
05/06/2024
Last updated
03/24/2026
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