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Individual

STEPHANIE ROBERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
440 TAYLOR RD, STE 3380, MONTGOMERY, AL 36117-3588
(334) 213-6255
(334) 213-6243
Mailing address
40 VILLAGE CT, WETUMPKA, AL 36093-2982
(334) 590-1699

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
1-122680
AL
363LF0000X
Family Nurse Practitioner
Primary
F0614994
AL

Other

Enumeration date
06/27/2014
Last updated
06/27/2014
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