Individual
DEAN ROBERTS
Active
Individual
DEAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00294000
NJ
367H00000X
Anesthesiologist Assistant
26NR13472900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NR13007400
STATE LICENSE
NJ
Enumeration date
06/24/2010
Last updated
04/12/2018
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