Individual
MRS. TERI LYN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
234 MEDICAL CIR STE 1, MOREHEAD, KY 40351-1194
(606) 784-6641
(606) 780-2373
Mailing address
234 MEDICAL CIR STE 1, MOREHEAD, KY 40351-1194
(606) 784-6641
(606) 780-2373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010007
KY
363LF0000X
Family Nurse Practitioner
A-071191
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3010007
KY MEDICAL LICENSE
KY
Enumeration date
09/13/2005
Last updated
04/27/2016
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