Individual
MS. EARNESTINE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3605 MEETING STREET RD., STE.B1, NORTH CHARLESTON, SC 29405
(843) 552-8165
Mailing address
156 MANSFIELD BLVD, NORTH CHARLESTON, SC 29418-2001
(843) 813-2017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 60938
SC
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0240
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0910
—
SC
Enumeration date
11/20/2008
Last updated
09/12/2015
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