Individual
MS. CAROL LEIGH ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 HIGHWAY 89 NORTH, PRESCOTT, AZ 86313
(928) 445-4860
Mailing address
4002 N GRANITE REEF RD, SCOTTSDALE, AZ 85251-4921
(602) 697-5111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP038334
AZ
164W00000X
Licensed Practical Nurse
PN-111351
OH
164X00000X
Licensed Vocational Nurse
VN203660
CA
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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