Individual
ROBREKA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3401 NORTH BLVD, SUITE #200-B, BATON ROUGE, LA 70806-3743
(225) 381-2615
(225) 383-8477
Mailing address
8490 PICARDY AVE, SUITE #200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
AP07105
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2360043
—
LA
01
—
351579YNB7
MEDICARE PTAN
LA
Enumeration date
03/31/2014
Last updated
10/01/2014
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