Individual
ALISSA ZEA MCMAKEN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
200850069NP NMNP
OR
367A00000X
Advanced Practice Midwife
Primary
200850069
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200242145RN
RN LICENSE
OR
01
—
200850069NP NMNP
CNM LICENSE
OR
05
—
279287
—
OR
Enumeration date
07/10/2008
Last updated
12/30/2021
Update your record
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