Individual
HOLLY E ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2214 GATEWAY DR STE C, OPELIKA, AL 36801-6832
(334) 741-0075
(334) 741-4075
Mailing address
2214 GATEWAY DR STE C, OPELIKA, AL 36801-6832
(334) 741-0075
(334) 741-4075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-067101
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
631170936
TAX ID
AL
Enumeration date
09/27/2006
Last updated
09/20/2010
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